Individual ProviderRaven Jewel BreshearsAdult CompanionNursing Service Related ProvidersPractice Address920 16th St, Modesto, CA 95354-1119(209) 558-4595PECOS EnrollmentBased on the most recent information from CMS, provider Raven Jewel Breshears 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 ID1811677552Provider TypeIndividualFull NameBreshears, Raven JewelGenderFemaleSole ProprietorNoEnumeration Date7/18/2023Last Updated5/15/2025Contact InformationPractice LocationPractice Address920 16th St, Modesto, CA 95354-1119Phone(209) 558-4595FaxUnlisted FaxMailing LocationMailing Address920 16th St, Modesto, CA 95354-1119PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted IssuerCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicenseUnlisted IssuerCaliforniaCode374700000XDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer