# JEFFERSON HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417801648
- **Authorized official:** CORNELL JEFFERSON (MANAGING MEMBER)
- **Authorized official phone:** (818) 963-0079

## Contact information

- **Practice address:** 2136 W 82ND ST, LOS ANGELES, CA 90047-2620
- **Practice address phone:** (818) 963-0079
- **Mailing address:** 6201 W 87TH ST \# 2681, WESTCHESTER, CA 90045-3901
- **Mailing address phone:** (310) 649-3919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/24/2026