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

Jefferson Homes LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1417801648

Jefferson Homes LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2136 W 82nd St
Los Angeles, CA 90047-2620
Phone: (818) 963-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1417801648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cornell Jefferson — Managing Member · (818) 963-0079
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address6201 W 87th St # 2681, Westchester, CA 90045-3901

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