Individual ProviderElizabeth FuentesAdult CompanionNursing Service Related ProvidersPractice Address121 Downey Ave, Modesto, CA 95354-1208(209) 341-1824(415) 563-8200PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Fuentes 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 ID1881057438Provider TypeIndividualFull NameFuentes, ElizabethGenderFemaleSole ProprietorYesEnumeration Date3/31/2016Last Updated5/15/2025Contact InformationPractice LocationPractice Address121 Downey Ave, Modesto, CA 95354-1208Phone(209) 341-1824FaxUnlisted FaxMailing LocationMailing Address1301 Pierce St, San Francisco, CA 94115-4005Phone(415) 563-8200Fax(415) 563-9585Provider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID00DescriptionOtherIssuer00California