Individual ProviderGuadalupe TafollaAdult CompanionNursing Service Related ProvidersPractice Address920 16th St Ste B, Modesto, CA 95354-1119(209) 681-6013PECOS EnrollmentBased on the most recent information from CMS, provider Guadalupe Tafolla 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 ID1508549015Provider TypeIndividualFull NameTafolla, GuadalupeGenderFemaleSole ProprietorNoEnumeration Date8/10/2023Last Updated5/15/2025Contact InformationPractice LocationPractice Address920 16th St Ste B, Modesto, CA 95354-1119Phone(209) 681-6013FaxUnlisted FaxMailing LocationMailing Address920 16th St Ste B, Modesto, CA 95354-1119Phone(209) 681-6013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicenseUnlisted Issuer