SAN BERNARDINO HOUSE
NPI 1508376955
Intermediate Care Facility, Intellectual Disabilities in Pomona, CA

NPI Status: Active since October 11, 2017

Contact Information

692 SAN BERNARDINO AVE
POMONA, CA
ZIP 91767
Phone: (909) 620-2585
Fax: (909) 622-2090

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About SAN BERNARDINO HOUSE

This page provides the complete NPI Profile along with additional information for San Bernardino House, a provider established in Pomona, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1508376955 assigned on October 2017. The practitioner's primary taxonomy code is 315P00000X with license number 550002479 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as San Bernardino House. The authorized official of this NPI record is Vincent Okorafor (President)

NPI
1508376955
Provider Legal Name
ALPHA RESIDENTIAL INC
Other Organization Name
SAN BERNARDINO HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
692 SAN BERNARDINO AVE POMONA, CA 91767
Location Phone
(909) 620-2585
Location Fax
(909) 622-2090
Mailing Address
PO BOX 2220 POMONA, CA 91769
Mailing Phone
(909) 815-1129
Mailing Fax
(909) 622-2090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2017
Last Update Date
03-17-2018
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Location Map

Secondary Locations

  • 1760 Buchanan Dr
    Pomona, CA 91767
    (909) 629-1829

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
550002479
License State
CA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VINCENT OKORAFOR

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 629-1829

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508376955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25086712910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 6 + 7 + 1 + 2 + 9 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1508376955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508376955, enumerated as an "organization" on October 11, 2017.

The provider is located at 692 SAN BERNARDINO AVE POMONA, CA 91767 and the phone number is (909) 620-2585.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.