SOUTHSIDE MANOR INC.
NPI 1528298502
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pomona, CA

Q: What is Southside Manor Inc.'s NPI number?

The NPI number for Southside Manor Inc. is 1528298502. It was assigned to this organization in the NPPES registry on July 23, 2009.

Q: What is Southside Manor Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 23, 2009

820 E GRAND AVE, POMONA, CA 91766(909) 623-7305(909) 623-7898 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southside Manor Inc. NPPES

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

SOUTHSIDE MANOR INC. (NPI 1528298502) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pomona, California and active in the NPI registry since July 2009. The organization lists James Pardue, President, as its authorized official.

NPPES Registry Identity

NPI1528298502

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSOUTHSIDE MANOR INC.

Location Address820 E GRAND AVEPomona, CA 91766-3662

Mailing Address820 E Grand AvePomona, CA 91766-3662 · (909) 623-7305 · Fax (909) 623-7898

Phone(909) 623-7305

Fax(909) 623-7898

Organization SubpartNo

Authorized OfficialJames ParduePresident · (909) 623-7305

Enumeration DateJuly 23, 2009

Last NPPES UpdateAugust 26, 2009

✔ NPI 1528298502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in CA · 191502984

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

820 E GRAND AVE, Pomona, CA 91766

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Other Identifiers 1

Other320900000XCA · Domiciliary Care Facititiy

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 Southside Manor Inc.'s NPI number?

The NPI number for Southside Manor Inc. is 1528298502. It was assigned to this organization in the NPPES registry on July 23, 2009.

Where is Southside Manor Inc. located?

Southside Manor Inc. is located at 820 E Grand Ave, Pomona, CA 91766. The listed phone number is (909) 623-7305.

What is Southside Manor Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Southside Manor Inc. was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.