Individual ProviderTina Marie KingAdult CompanionNursing Service Related ProvidersPractice Address121 Downey Ave, Modesto, CA 95354-1208(209) 341-1824(505) 514-3008PECOS EnrollmentBased on the most recent information from CMS, provider Tina Marie King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164999439Provider TypeIndividualFull NameKing, Tina MarieGenderFemaleSole ProprietorNoEnumeration Date10/25/2018Last Updated10/29/2025Contact InformationPractice LocationPractice Address121 Downey Ave, Modesto, CA 95354-1208Phone(209) 341-1824FaxUnlisted FaxMailing LocationMailing Address1440 Hall Ave, Hollister, CA 95023-6242Phone(505) 514-3008FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer