FRED JEFFERSON MEMORIAL HOME FOR BOYS (NPI# 1598216707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598216707 |
| Entity Type | Organization |
| Organization Name | FRED JEFFERSON MEMORIAL HOME FOR BOYS |
| Other Organization Name | FRED JEFFERSON MEMORIAL HOME #2 |
| Practice Address |
1448 E 142nd St Compton CA 90222-3702 |
| Practice Telephone | 3106040595 |
| Practice Fax Number | 3106041357 |
| Mailing Telephone | 3107661660 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | NIQUELLE LEWIS (CTO/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3107631660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Fred Jefferson 142 Aftercare | Doing Business As Name - Organization |
| Fred Jefferson Memorial Home #2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679016554 | Fred Jefferson Memorial Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 1000 W 152nd St, Compton, CA 90220-2821 | 2016-11-28 |
| 1659561223 | Fred Jefferson Memorial Home for Boys | Community/Behavioral Health | 152 W Walnut St Ste 150, Gardena, CA 90248-3146 | 2007-07-30 |
| 1750824637 | Fred Jefferson Memorial Home for Boys | Foster Care Agency | 152 W Walnut St, Suite 150, Gardena, CA 90248-3141 | 2016-11-28 |
| Street Address |
1448 E 142ND ST |
| City | COMPTON |
| State | CA |
| Zip Code | 90222-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023551900 | Fred Jefferson | Residential Treatment Facility, Emotionally Disturbed Children | 1448 E 142nd St, Compton, CA 90222-3702 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1467795203 | Maita Siti Kuvhenguhwa | Internal Medicine | 2251 W Rosecrans Ave Ste 18-21, Compton, CA 90222 | 2013-03-29 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 1790035129 | Danielle Cameron | Social Worker | 2010 E.el Segundo, Compton, CA 90222 | 2012-09-13 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1962683938 | We Care More II Family Clinic | Nurse Practitioner | 2110a N Santa Fe Ave, Compton, CA 90222 | 2007-11-19 |
| 1588843155 | Cynthia Y. Lidy Dba We Care More II Family Clinic | Nurse Practitioner | 2110 A N. Santa Fe Ave, Compton, CA 90222 | 2007-10-30 |
| 1134262322 | Dershsuan Lii | Dentist | 2115 N.wilmington Ave, Compton, CA 90222 | 2007-02-15 |
| 1134272032 | Karen Kincey | Physician Assistant | 25825 S. Normandie Ave., Harbor City, CA 90222 | 2007-01-22 |
| 1528324381 | David Tobey | Surgery | 2251 W Rosecrans Ave Ste 21, Compton, CA 90222 | 2012-04-05 |
| Find all providers in zip 90222 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740625409 | American Health and Education Clinics | Case Management | 621 W Poplar St, Compton, CA 90220-1927 | 2013-05-07 |
| 1083938401 | Trinity In His House Foundation | Case Management | 1806 E Compton Blvd, Compton, CA 90221-3543 | 2010-03-15 |
| 1457590077 | Star View Community Service | Case Management | 1805 W Victoria, Compton, CA 90220 | 2009-02-05 |
| 1306023411 | Ronald Jerome Quiette | Case Management | 200 West Compton Blvd, Compton, CA 90220 | 2008-01-31 |
| 1275718496 | Willa Elizabeth Bryant | Case Management | 200 W Compton Blvd Suite 300, Compton, CA 90220 | 2008-01-07 |
| 1528242385 | Rhonda L Watson | Case Management | 200 W Compton Blvd, Suite 300, Compton, CA 90220 | 2007-12-28 |
| 1063548998 | Star View | Case Management | 1085 West Victoria Ave., Compton, CA 90220 | 2007-02-26 |
| 1659324408 | Dual Diagnosis Assessment and Treatment Center Inc | Case Management | 2600 N Central Ave, B1, Compton, CA 90222-1640 | 2006-05-19 |
| 1952748246 | Jwch | Case Management | 1218 E Compton Blvd, Compton, CA 90221-3310 | 2013-05-28 |
| 1003250978 | American Health and Education Clinics | Case Management | 12338 S Mona Blvd, Compton, CA 90222-1320 | 2013-04-23 |
| Find all providers in COMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.