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SAMUEL NICHOLS III
NPI 1902674062
Adult Companion in Modesto, CA

Active since December 18, 2023
1001 NEEDHAM ST, MODESTO, CA 95354(209) 569-0373 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jun 3, 2024 (2 updates tracked since 2024).

About Samuel Nichols Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL NICHOLS III (NPI 1902674062) is an individual adult companion provider in Modesto, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1902674062
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameSAMUEL NICHOLS III
Location Address1001 NEEDHAM STModesto, CA 95354-0730
Mailing Address1001 Needham StModesto, CA 95354-0730 · (209) 569-0373 · Fax (209) 529-8519
Phone(209) 569-0373
Sole ProprietorYes
Enumeration DateDecember 18, 2023
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1902674062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
1001 NEEDHAM ST, Modesto, CA 95354
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN KISTLER M.D.
Psychiatry & Neurology (Psychiatry)
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
TAYLOR SHAE LOUISE ORNER
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
EDDIE HOOVER JR.
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
JACQUELINE BARAJAS
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
VIRGINIA BETTY LINKER
Peer Specialist
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 544-1913
ANASTASHIA THALIA MALDONADO
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
ANESSA ABDISHO
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373
RITA ALVAREZ-MCGOVERN
Adult Companion
1001 NEEDHAM ST
MODESTO, CA 95354
Stanislaus County (209) 569-0373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Nichols's NPI number?

The NPI number for Samuel Nichols is 1902674062. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Samuel Nichols located?

Samuel Nichols practices at 1001 Needham St, Modesto, CA 95354. The listed phone number is (209) 569-0373.

What is Samuel Nichols's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Samuel Nichols was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.