MEDICARE: JLS PARTNERS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	251S00000X	Community/Behavioral Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	323P00000X	Psychiatric Residential Treatment Facility
6	311Z00000X	Custodial Care Facility
7	174H00000X	Health Educator
8	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
9	174200000X	Meals Provider
10	343900000X	Non-emergency Medical Transport (VAN)
11	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1316899248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JLS PARTNERS LLC

Provider Business Mailing Address
First Line	:	164 ROBLES WAY # 264
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-8039
Country	:	US
Telephone Number	:	510-455-2137
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 MAINE ST
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-6170
Country	:	US
Telephone Number	:	510-455-2137
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. SUNSHINNE THOMPSON
Credential	:
Telephone Number	:	510-455-2137

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	05/18/2026

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Directions to “JLS PARTNERS LLC ” Practice Location

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