FRED JEFFERSON MEMORIAL HOME #1
NPI 1679016554
Residential Treatment Facility, Emotionally Disturbed Children in Compton, CA

NPI Status: Active since November 28, 2016

Contact Information

1000 W 152ND ST
COMPTON, CA
ZIP 90220
Phone: (310) 763-1660
Fax: (310) 763-0357

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About FRED JEFFERSON MEMORIAL HOME #1

This page provides the complete NPI Profile along with additional information for Fred Jefferson Memorial Home #1, a provider established in Compton, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1679016554 assigned on November 2016. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Fred Jefferson Memorial Home #1. The authorized official of this NPI record is Niquelle Deondrea Lewis Ma (Executive Director)

NPI
1679016554
Provider Legal Name
FRED JEFFERSON MEMORIAL HOME FOR BOYS
Other Organization Name
FRED JEFFERSON MEMORIAL HOME #1
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1000 W 152ND ST COMPTON, CA 90220
Location Phone
(310) 763-1660
Location Fax
(310) 763-0357
Mailing Address
152 W WALNUT ST SUITE 150 GARDENA, CA 90248
Mailing Phone
(310) 763-1660
Mailing Fax
(310) 763-0357
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2016
Last Update Date
03-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NIQUELLE DEONDREA LEWIS MA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(310) 763-1660

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679016554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 0 + 1 + 1 + 2 + 5 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679016554.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679016554, enumerated as an "organization" on November 28, 2016.

The provider is located at 1000 W 152ND ST COMPTON, CA 90220 and the phone number is (310) 763-1660.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.