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Alpha Residential Inc — NPI 1508376955, Pomona, CA | NPI Central

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NPI 1508376955

OrganizationActive

Alpha Residential Inc

NPI 1508376955 · Intellectual Disabilities Intermediate Care Facility · Pomona, CA

Provider details

NPI number: 1508376955
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Vincent Okorafor, President(909) 629-1829
License: 550002479 (CA)

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000XLicense 550002479 (CA)
Nursing & Custodial Care Facilities

Practice location

692 San Bernardino Ave

Pomona, CA 91767-3244

Phone: (909) 620-2585

Fax: (909) 622-2090

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 2220

Pomona, CA 91769-2220

Other names (DBA / former)

Doing business as: San Bernardino House

Additional practice locations (1)

1760 Buchanan Dr
Pomona, CA 91767-3145
Phone: (909) 629-1829
Fax: (909) 622-2090

Registry dates

Enumerated: 2017-10-11
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.