ALPHA RESIDENTIAL INC (NPI# 1508376955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508376955 |
| Entity Type | Organization |
| Organization Name | ALPHA RESIDENTIAL INC |
| Other Organization Name | SAN BERNARDINO HOUSE |
| Practice Address |
692 San Bernardino Ave Pomona CA 91767-3244 |
| Mailing Address |
Po Box 2220 Pomona CA 91769-2220 |
| Practice Telephone | 9096202585 |
| Practice Fax Number | 9096222090 |
| Mailing Telephone | 9098151129 |
| Mailing Fax Number | 9096222090 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | VINCENT OKORAFOR (PRESIDENT) |
| Authorized Official Telephone | 9096291829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 550002479 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| San Bernardino House | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1760 Buchanan Dr, Pomona, CA 917673145 | 9096291829 | 9096222090 |
| Street Address |
692 SAN BERNARDINO AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336669803 | K & J Managment Incorporate | Intermediate Care Facility, Mentally Retarded | 1602 Regene St, Pomona, CA 91766-5316 | 2017-06-26 |
| 1609104769 | Alpha Residential Inc. | Intermediate Care Facility, Mentally Retarded | 1760 Buchanan Dr, Pomona, CA 91767-3145 | 2009-12-01 |
| 1811024649 | Normal Life of California, Inc. | Intermediate Care Facility, Mentally Retarded | 3252 Florinda St, Pomona, CA 91767-1016 | 2007-02-28 |
| 1740317031 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 56 Sundance Dr, Pomona, CA 91766-4894 | 2007-02-27 |
| 1467589606 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 1408 Douglass Dr, Pomona, CA 91768-1317 | 2007-02-27 |
| 1487781613 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 3114 Dawnview Ave, Pomona, CA 91767-1002 | 2007-02-27 |
| 1144356098 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 336 Markway Ln, Pomona, CA 91767-1028 | 2007-02-26 |
| 1710012133 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1041 S White Ave, Pomona, CA 91766-2938 | 2007-02-23 |
| 1003962770 | Community Education Associates, Inc | Intermediate Care Facility, Mentally Retarded | 1762 Storrs Pl, Pomona, CA 91766-4131 | 2007-01-26 |
| 1235285990 | Community Education Associates, Inc | Intermediate Care Facility, Mentally Retarded | 1171 Maple View Dr, Pomona, CA 91766-4104 | 2007-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.