MEDICARE: RSCR CALIFORNIA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174650394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSCR CALIFORNIA, INC

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 350
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1810
Country	:	US
Telephone Number	:	952-836-2234
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 N GRAND AVE
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-2413
Country	:	US
Telephone Number	:	714-537-3252
Fax Number	:

Authorized Official
Title or Position	:	CHIEF REGULATORY OFFICER SR ASST GC
Name	:	MARY PATRICIA RODENBERG-ROBERTS
Credential	:
Telephone Number	:	952-836-2234

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	06/16/2026

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