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ALPHA RESIDENTIAL INC NPI 1508376955


NPI Information

NPI: 1508376955
Provider Name: ALPHA RESIDENTIAL INC

Doing Business As: SAN BERNARDINO HOUSE

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
692 SAN BERNARDINO AVE
POMONA, CA
ZIP 91767
Phone: (909) 620-2585
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ALPHA RESIDENTIAL INC is an intermediate care facility mentally retarded in Pomona, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. ALPHA RESIDENTIAL INC NPI is 1508376955. The provider is registered as an organization entity type.
The provider Is Doing Business As San Bernardino House.

The provider's business location address is:

692 SAN BERNARDINO AVE
POMONA, CA
ZIP 91767-244
Phone: (909) 620-2585
Fax: (909) 622-2090

The provider's authorized official is Vincent Okorafor .
The authorized official title is President and has the following contact phone number (909) 629-1829.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded550002479CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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