Fred Jefferson Memorial Home for Boys
NPI 1750824637ActiveOrganization· Foster Care Agency· Gardena, CA
Foster Care Agency in Gardena, California, registered in NPPES in November 2016. The authorized official on file is Niquelle Deondrea Lewis, MA, Executive Director.
Overview
| NPI | 1750824637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2016 |
| Last updated in NPPES | Mar 3, 2020 |
| Certified by provider | Mar 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Foster Care Agency Primary | 253J00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Foster Care Agency providers in Gardena
- 1699218578