Southside Manor Inc.
NPI 1528298502 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pomona, CA
Southside Manor Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Pomona, CA (NPI 1528298502).
Provider details
- NPI number
- 1528298502
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Pardue, President(909) 623-7305
- License
- 191502984 (CA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 191502984 (CA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2009-08-26
Frequently asked questions
- What is Southside Manor Inc.'s NPI number?
- Southside Manor Inc.'s National Provider Identifier (NPI) is 1528298502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Manor Inc.?
- Southside Manor Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Southside Manor Inc. located?
- Southside Manor Inc.'s practice location on file with NPPES is 820 E Grand Ave, Pomona, CA 91766-3662.
- What is Southside Manor Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Manor Inc. is (909) 623-7305.
- Who is the authorized official for Southside Manor Inc.?
- The authorized official listed on Southside Manor Inc.'s NPPES record is James Pardue, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Manor Inc.'s NPI active?
- Yes — Southside Manor Inc.'s NPI (1528298502) is active in the NPPES registry as of the last update on 2009-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.