NPIMap

Organization Active NPI

Holiday Manor Care Center

  • Skilled Nursing Facility
  • Canoga Park, CA
National Provider Identifier
1336138999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOLIDAY MANOR CARE CENTER
Practice address
20554 Roscoe Blvd
Canoga Park, CA 91306-1746
Phone
(818) 341-9800
Fax
(818) 341-1925
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Victorio Ocbena Sosing, NHA
Title
Administrator
Phone
(818) 341-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

20554 Roscoe Blvd
Canoga Park, CA 91306-1746

Mailing address

20554 Roscoe Blvd
Canoga Park, CA 91306-1746
Phone (818) 341-9800

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18160GMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Holiday Manor Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336138999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913061746",
            "telephone_number": "818-341-9800",
            "fax_number": "818-341-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913061746",
            "telephone_number": "818-341-9800",
            "fax_number": "818-341-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY MANOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOSING",
        "authorized_official_first_name": "VICTORIO",
        "authorized_official_middle_name": "OCBENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-341-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18160G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.