Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Jefferson Memorial Home for Boys

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1679016554

Fred Jefferson Memorial Home for Boys is an Emotionally Disturbed Childrens' Residential Treatment Facility in Compton, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1000 W 152nd St
Compton, CA 90220-2821
Phone: (310) 763-1660
Fax: (310) 763-0357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1679016554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niquelle Lewis — Executive Director · (310) 763-1660
Other names Fred Jefferson Memorial Home #1
NPI enumeratedNovember 28, 2016
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address152 W Walnut St, Suite 150, Gardena, CA 90248-3141

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