# 22125 ROSCOE CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Topanga Terrace Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184620171
- **Authorized official:** CARY BUCHMAN (PRESIDENT)
- **Authorized official phone:** (818) 905-8000

## Contact information

- **Practice address:** 22125 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
- **Practice address phone:** (818) 883-7292
- **Practice address fax:** (818) 883-9903
- **Mailing address:** 22125 ROSCOE BLVD, CANOGA PARK, CA 91304-3839
- **Mailing address phone:** (818) 883-7292
- **Mailing address fax:** (818) 883-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000075 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 05/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70095F | — | CA |
| 05 | — | ZZT06092G | — | CA |