Healthcare Provider Details

I. General information

NPI: 1790611614
Provider Name (Legal Business Name): JPS HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 N CAMINO ALTO
VALLEJO CA
94590-3313
US

IV. Provider business mailing address

441 N CAMINO ALTO
VALLEJO CA
94590-3313
US

V. Phone/Fax

Practice location:
  • Phone: 707-655-2264
  • Fax:
Mailing address:
  • Phone: 707-655-2264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: EVELYN SERRANO
Title or Position: LICENSEE
Credential:
Phone: 707-655-2264