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FRED JEFFERSON MEMORIAL HOME FOR BOYS
NPI 1750824637
Foster Care Agency in Gardena, CA

Active since November 28, 2016
152 W WALNUT ST, SUITE 150, GARDENA, CA 90248(310) 763-1660 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred Jefferson Memorial Home For Boys NPPES

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

FRED JEFFERSON MEMORIAL HOME FOR BOYS (NPI 1750824637) is a healthcare organization registered as a foster care agency in Gardena, California and active in the NPI registry since November 2016. The organization lists Niquelle Deondrea Lewis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750824637
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameFRED JEFFERSON MEMORIAL HOME FOR BOYS
Location Address152 W WALNUT ST, SUITE 150Gardena, CA 90248-3141
Mailing Address152 W Walnut St, Suite 150Gardena, CA 90248-3141 · (310) 763-1660
Phone(310) 763-1660
Organization SubpartNo
Authorized OfficialNiquelle Deondrea LewisExecutive Director · (310) 763-1660
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1750824637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
152 W WALNUT ST, Gardena, CA 90248
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRED JEFFERSON MEMORIAL
Foster Care Agency
152 W WALNUT ST, SUITE 150
GARDENA, CA 90248
Los Angeles County (310) 929-0738
FRED JEFFERSON MORENO
Case Management
152 W WALNUT ST, SUITE 150
GARDENA, CA 90248
Los Angeles County (310) 763-1660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Jefferson Memorial Home For Boys's NPI number?

The NPI number for Fred Jefferson Memorial Home For Boys is 1750824637. It was assigned to this organization in the NPPES registry on November 28, 2016.

Where is Fred Jefferson Memorial Home For Boys located?

Fred Jefferson Memorial Home For Boys is located at 152 W Walnut St Suite 150, Gardena, CA 90248. The listed phone number is (310) 763-1660.

What is Fred Jefferson Memorial Home For Boys's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Fred Jefferson Memorial Home For Boys was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.