Provider Demographics
NPI:1346526142
Name:TOPANGA ROSCOE CORP.
Entity Type:Organization
Organization Name:TOPANGA ROSCOE CORP.
Other - Org Name:VILLA TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-905-8000
Mailing Address - Street 1:15760 VENTURA BLVD
Mailing Address - Street 2:SUITE 920
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-3000
Mailing Address - Country:US
Mailing Address - Phone:818-905-8000
Mailing Address - Fax:818-905-8002
Practice Address - Street 1:22115 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-3839
Practice Address - Country:US
Practice Address - Phone:818-905-8000
Practice Address - Fax:818-905-8002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOPANGA ROSCOE CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility