JEFFERSON HOMES LLC – NPI #1417801648
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

JEFFERSON HOMES LLC is a residential treatment facility located in LOS ANGELES, CA. NPPES has assigned the NPI number 1417801648 to JEFFERSON HOMES LLC on February 24, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON HOMES LLC below.

NPI Profile for
JEFFERSON HOMES LLC

NPI Number
1417801648
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFERSON HOMES LLC
Primary location
2136 W 82ND ST
LOS ANGELES, CA 90047-2620
Phone: (818) 963-0079 Fax:
Mailing address
6201 W 87TH ST # 2681
WESTCHESTER, CA 90045-3901
Phone: (310) 649-3919 Fax:
Organization Subpart
No
Authorized Official
CORNELL JEFFERSON
MANAGING MEMBER
Phone: (818) 963-0079
Updated
Certification Date
Feb 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.