OrganizationActive
Sevbenoa, Inc.
NPI 1164682829 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Pomona, CA
Provider details
- NPI number
- 1164682829
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Milagros Samson, President(909) 624-9107
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1244 Scoville Ave
Pomona, CA 91767-3450
Phone: (909) 624-9107
Fax: (909) 350-0495
Street-level locationGet directions
Mailing address
1244 Scoville Ave
Pomona, CA 91767-3450
Other names (DBA / former)
- Doing business as
- Scoville Villa
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.