Individual ProviderSamuel NicholsAdult CompanionNursing Service Related ProvidersPractice Address1001 Needham St, Modesto, CA 95354-0730(209) 569-0373PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Nichols 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 ID1902674062Provider TypeIndividualFull NameNichols, SamuelGenderMaleSole ProprietorYesEnumeration Date12/18/2023Last Updated12/15/2025Contact InformationPractice LocationPractice Address1001 Needham St, Modesto, CA 95354-0730Phone(209) 569-0373FaxUnlisted FaxMailing LocationMailing Address1001 Needham St, Modesto, CA 95354-0730Phone(209) 569-0373Fax(209) 529-8519Provider TaxonomiesCodeDescriptionLicenseCode372600000XPrimaryDescriptionAdult CompanionNursing Service Related ProvidersLicenseUnlisted Issuer