MEDICARE: JONES INDEPENDENT LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	174200000X	Meals Provider
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251S00000X	Community/Behavioral Health Agency
5	253Z00000X	In Home Supportive Care Agency
6	311Z00000X	Custodial Care Facility
7	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1194654871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES INDEPENDENT LIVING

Provider Business Mailing Address
First Line	:	427 WOODROW AVE
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-7429
Country	:	US
Telephone Number	:	707-655-0377
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 WOODROW AVE
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-7429
Country	:	US
Telephone Number	:	707-655-0377
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ERIC LAMARR JONES
Credential	:
Telephone Number	:	707-655-0377

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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1770586802 — MS. PAIGE YOSHISATO M.D.
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