Jefferson Homes SLS, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JEFFERSON HOMES SLS, LLC

Practice address

6201 W 87TH St # 2681
Los Angeles, CA 90045-3901

Phone

(818) 963-0079

NPI assigned

Jan 16, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Cornell Jefferson, ADMINISTRATOR

Title

Managing Member

Phone

(818) 963-0079

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1730048745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W 87TH ST # 2681",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "818-963-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W 87TH ST # 2681",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "818-963-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOMES SLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Michael Jeffcoat, M.D.
• Kenneth Jefferis
• Ian Jeffers, MA, PHD
• Jefferson & Jefferson Transitional Housing
• Jefferson Homes LLC
• Antawny Jefferson, CERTIFIED COUNSELOR
• Autumn Jefferson
• Cornell Jefferson
• Genette Desire Jefferson
• Gregory Jefferson Jr.

• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.