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BOYS REPUBLIC - POMONA RESIDENCE
NPI 1215489000
Community Based Residential Treatment Facility, Mental Illness in Pomona, CA

Active since October 27, 2016
733 N GAREY AVE, POMONA, CA 91767(909) 622-3556(909) 306-5427 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Apr 25, 2022, Nov 7, 2019 and 7 more (10 updates tracked since 2016).

About Boys Republic - Pomona Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOYS REPUBLIC - POMONA RESIDENCE (NPI 1215489000) is a healthcare organization registered as a community based residential treatment facility, mental illness in Pomona, California and active in the NPI registry since October 2016. The organization lists Bayley Dark, Clinician/head Of Service, as its authorized official.

NPPES Registry Identity

NPI1215489000
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBOYS REPUBLIC
Location Address733 N GAREY AVEPomona, CA 91767
Mailing Address1907 Boys Republic DrChino Hills, CA 91709-5447 · (909) 628-1217 · Fax (909) 627-9222
Phone(909) 622-3556
Fax(909) 306-5427
Organization SubpartYes
Authorized OfficialBayley DarkClinician/head Of Service · (909) 536-6611
Enumeration DateOctober 27, 2016
Last NPPES UpdateNovember 30, 202210 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1215489000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
733 N GAREY AVE, Pomona, CA 91767
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Other Names 1

Other NameBoys Republic - Pomona Residence

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIGIFREDO CORTES RUIZ
Case Manager/Care Coordinator
733 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 622-3556
REBECCA MARTINEZ
Case Manager/Care Coordinator
733 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 622-3556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boys Republic's NPI number?

The NPI number for Boys Republic is 1215489000. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is also known as Boys Republic - Pomona Residence.

Where is Boys Republic located?

Boys Republic is located at 733 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 622-3556.

What is Boys Republic's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Boys Republic was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.