CMS-1500 Box 24J / 33a • NPI
1184620171
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
314000000X (CMS A1[8])
Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)
Box 32 Service Location & ZIP+4
22125 ROSCOE BLVD, CANOGA PARK, CA, 91304-3839
✓ 9-Digit EDI 837 ZIP+4 (91304-3839)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184620171 (22125 ROSCOE CORP.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184620171 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 22125 ROSCOE CORP. |
| Plain-English Specialty | Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: 314000000X (Skilled Nursing Facility) |
| Certifying / Licensing Body | CMS Five-Star Quality Rating System / State Department of Health |
| Practice Location Address | 22125 ROSCOE BLVD, CANOGA PARK, CA, 91304-3839 |
| Practice Telephone / Fax | Tel: (818) 883-7292 | Fax: (818) 883-9903 |
| Administrative Mailing Address | 22125 ROSCOE BLVD, CANOGA PARK, CA, 91304-3839 |
| Enumeration & Last Sync | Enumerated: 2005-06-23 | CMS Record Updated: 2022-05-26 |
| Authorized Official | CARY BUCHMAN (President) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (314000000X)
What Does Taxonomy Code 314000000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (22125 ROSCOE CORP.)
Typical CPT / Diagnostic Procedures:- 24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
- Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation
- Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
314000000X — Skilled Nursing FacilityPlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: CA | License: 920000075 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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