NPIMap

Organization Active NPI

Alpha Residential Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Pomona, CA
National Provider Identifier
1609440908
Registry record updated May 19, 2021
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
1595 W Grand Ave
Pomona, CA 91766-2506
Phone
(909) 815-1129
Fax
(909) 622-2090
NPI assigned
May 19, 2021
Organization subpart
Yes
Parent organization
ALPHA RESIDENTIAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
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

1595 W Grand Ave
Pomona, CA 91766-2506

Mailing address

PO Box 2220
Pomona, CA 91769-2220
Phone (909) 815-1129

Other names 1

  • ButterField House Doing business as

National Provider Directory

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

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1609440908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917692220",
            "telephone_number": "909-815-1129",
            "fax_number": "909-622-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 W GRAND AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662506",
            "telephone_number": "909-815-1129",
            "fax_number": "909-622-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA RESIDENTIAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA RESIDENTIAL INC",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ButterField House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 2021; 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.