HUMANGOOD SOCAL NPI 1851568596

NPI Details

HUMANGOOD SOCAL is a nursing facility intermediate care facility in La Jolla, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HUMANGOOD SOCAL NPI is 1851568596. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7450 OLIVETAS AVE
LA JOLLA, CA
ZIP 92037
Phone: (858) 454-4201
Fax: (858) 450-5298

The provider's authorized official is Gwen Ellen Vangelisto .
The authorized official title is Director Of Accounts Receivable and has the following contact phone number (949) 463-0893.

The CLIA number assigned to this NPI record is 05D0925405 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: