JEFFERSON HOMES LLC
NPI 1417801648
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Los Angeles, CA

Active since February 24, 2026
2136 W 82ND ST, LOS ANGELES, CA 90047(818) 963-0079 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jefferson Homes Llc NPPES

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

JEFFERSON HOMES LLC (NPI 1417801648) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Los Angeles, California and active in the NPI registry since February 2026. The organization lists Cornell Jefferson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1417801648
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameJEFFERSON HOMES LLC
Location Address2136 W 82ND STLos Angeles, CA 90047-2620
Mailing Address6201 W 87th St # 2681Westchester, CA 90045-3901 · (310) 649-3919
Organization SubpartNo
Authorized OfficialCornell JeffersonManaging Member · (818) 963-0079
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1417801648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2136 W 82ND ST, Los Angeles, CA 90047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417801648, enumerated as an "organization" on February 24, 2026.

The provider is located at 2136 W 82ND ST LOS ANGELES, CA 90047 and the phone number is (818) 963-0079.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.