OrganizationActive
Fred Jefferson Memorial Home for Boys
NPI 1679016554 · Emotionally Disturbed Childrens' Residential Treatment Facility · Compton, CA
Provider details
- NPI number
- 1679016554
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Niquelle Lewis, Executive Director(310) 763-1660
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 W 152nd St
Compton, CA 90220-2821
Phone: (310) 763-1660
Fax: (310) 763-0357
Street-level locationGet directions
Mailing address
152 W Walnut St
Gardena, CA 90248-3141
Other names (DBA / former)
- Other name
- Fred Jefferson Memorial Home #1
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.