Eternity Care Home 2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETERNITY CARE HOME 2

Practice address

518 W Granger Ave
Modesto, CA 95350-4255

Phone

(209) 450-7283

Fax

(209) 567-2761

NPI assigned

Apr 30, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Petallo Payla, ADMINISTRATOR

Title

Licensee

Phone

(209) 450-7283

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1306783147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W GRANGER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504255",
            "telephone_number": "209-450-7283",
            "fax_number": "209-567-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W GRANGER AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504255",
            "telephone_number": "209-450-7283",
            "fax_number": "209-567-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY CARE HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "PAYLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PETALLO",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "209-450-7283",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelyn Estrada, LVN
• Jose Estrada
• Martha Angelica Estrada, MFT INTERN
• Michelle Estrada
• Victoria Estrada
• Davidson Okechukwu Etoamaihe, NP
• Natalie Eusebio
• Napoleon Golilao Evangelio Jr., CRNFA
• Jernee Jenavir Evangelista
• Vanessa Dawn Evans Vovk

• Assisted Living Facility in Modesto, CA
• Providers in Modesto, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.