Individual ProviderFelicia Casandra TafoyaCase Manager/Care CoordinatorOther Service ProvidersPractice Address203 California St NE, Albuquerque, NM 87108-1802(505) 308-8296PECOS EnrollmentBased on the most recent information from CMS, provider Felicia Casandra Tafoya 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 ID1972181261Provider TypeIndividualFull NameTafoya, Felicia CasandraCredentialCCSSGenderFemaleSole ProprietorNoEnumeration Date3/30/2021Last Updated3/30/2021Contact InformationPractice LocationPractice Address203 California St NE, Albuquerque, NM 87108-1802Phone(505) 308-8296Fax(505) 433-5096Mailing LocationMailing Address203 California St NE, Albuquerque, NM 87108-1802Phone(505) 308-8296Fax(505) 433-5096Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense01New Mexico