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 Foster Care Agency · NPI 1750824637

Fred Jefferson Memorial Home for Boys is a Foster Care Agency in Gardena, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

152 W Walnut St Ste 150
Gardena, CA 90248-3141
Phone: (310) 763-1660
Show map & directions

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

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X

Record details

NPI number1750824637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niquelle Lewis — Executive Director · (310) 763-1660
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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