Jefferson Homes LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

JEFFERSON HOMES LLC

Practice address

2136 W 82ND St
Los Angeles, CA 90047-2620

Phone

(818) 963-0079

NPI assigned

Feb 24, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cornell Jefferson

Title

Managing Member

Phone

(818) 963-0079

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1417801648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W 87TH ST # 2681",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "310-649-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 W 82ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472620",
            "telephone_number": "818-963-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-963-0079"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Toll MD Inc
• Devon Michael Jeffcoat, M.D.
• Kenneth Jefferis
• Ian Jeffers, MA, PHD
• Jefferson & Jefferson Transitional Housing
• Jefferson Homes SLS, LLC
• Antawny Jefferson, CERTIFIED COUNSELOR
• Autumn Jefferson
• Cornell Jefferson
• Genette Desire Jefferson

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.