Organization Active NPI

Alpha Residential Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Pomona, CA
National Provider Identifier
1609104769
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ALPHA RESIDENTIAL INC.
Practice address
1760 Buchanan Dr
Pomona, CA 91767-3145
Phone
(909) 622-1800
Fax
(909) 622-2090
NPI assigned
Dec 1, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vincent Okorafor
Title
President
Phone
(909) 815-1129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1760 Buchanan Dr
Pomona, CA 91767-3145

Mailing address

1760 Buchanan Dr
Pomona, CA 91767-3145
Phone (909) 622-1800

National Provider Directory

National Provider Directory
Tax ID family
Alpha Residential Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1609104769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 BUCHANAN DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673145",
            "telephone_number": "909-622-1800",
            "fax_number": "909-622-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BUCHANAN DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673145",
            "telephone_number": "909-622-1800",
            "fax_number": "909-622-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA RESIDENTIAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "OKORAFOR",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-815-1129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.