Organization provider

SOUTHSIDE MANOR INC.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

SOUTHSIDE MANOR INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1528298502, based in Pomona, CA. It is classified under Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.

Getting there

The practice address on file is 820 E GRAND AVE, Pomona, CA 91766. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

820 E GRAND AVE, Pomona, CA 91766 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
191502984 CA Intellectual and/or Developmental… primary

This provider holds licence 191502984 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities covers

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. NUCC Health Care Provider Taxonomy, code 320900000X
Residential Treatment Facilities Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1528298502 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 23, 2009
Last updatedAug 26, 2009
StatusActive
Practice address 820 E GRAND AVE
Pomona, CA 91766
(909) 623-7305
Fax (909) 623-7898
Other identifiers 320900000X · DOMICILIARY CARE FACITITIY (CA)
This record was last updated on Aug 26, 2009, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1528298502 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 2 8 2 9 8 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 4 8 4 9 7 5 0

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1528298502?
NPI 1528298502 is the National Provider Identifier assigned to SOUTHSIDE MANOR INC. in Pomona, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility cover?
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
How do I contact SOUTHSIDE MANOR INC.?
The phone number on file with NPPES is (909) 623-7305, last updated Aug 26, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1528298502 a valid number?
Yes. 1528298502 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.