1. Home
  2. Directory
  3. California
  4. Pomona
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

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

Active since October 11, 2017
692 SAN BERNARDINO AVE, POMONA, CA 91767(909) 620-2585(909) 622-2090 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 11, 2017 (2 updates tracked since 2017).

About San Bernardino House NPPES

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

SAN BERNARDINO HOUSE (NPI 1508376955) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pomona, California and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Pomona and lists Vincent Okorafor, President, as its authorized official.

NPPES Registry Identity

NPI1508376955
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameALPHA RESIDENTIAL INC
Location Address692 SAN BERNARDINO AVEPomona, CA 91767-3244
Mailing AddressPo Box 2220Pomona, CA 91769-2220 · (909) 815-1129 · Fax (909) 622-2090
Phone(909) 620-2585
Fax(909) 622-2090
Organization SubpartNo
Authorized OfficialVincent OkoraforPresident · (909) 629-1829
Enumeration DateOctober 11, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1508376955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in CA · 550002479
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

692 SAN BERNARDINO AVE, Pomona, CA 91767
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Bernardino House

Secondary Practice Location 1

Location 11760 Buchanan DrPomona, CA 91767-3145 · Phone (909) 629-1829 · Fax (909) 622-2090

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 Alpha Residential Inc's NPI number?

The NPI number for Alpha Residential Inc is 1508376955. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as San Bernardino House.

Where is Alpha Residential Inc located?

Alpha Residential Inc is located at 692 San Bernardino Ave, Pomona, CA 91767. The listed phone number is (909) 620-2585.

What is Alpha Residential Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Alpha Residential Inc was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.