PORSCHE JALIS MCCULLOUGH
NPI 1083414783
Adult Companion in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Adult Companion with taxonomy code 372600000X.

Active since March 13, 2025

401 S ST, SACRAMENTO, CA 95811(916) 584-7800 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2026, Mar 13, 2025 (2 updates tracked since 2025).

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About Porsche Jalis Mccullough NPPES

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

PORSCHE JALIS MCCULLOUGH (NPI 1083414783) is an individual adult companion provider in Sacramento, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1083414783

Entity TypeIndividualFemale

Primary Taxonomy372600000X

Provider Legal NamePORSCHE JALIS MCCULLOUGH

Location Address401 S STSacramento, CA 95811-6919

Mailing Address401 S StSacramento, CA 95811-6919 · (916) 584-7800

Phone(916) 584-7800

Sole ProprietorNo

Enumeration DateMarch 13, 2025

Last NPPES UpdateMay 15, 20262 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1083414783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedPeer SpecialistTaxonomy 175T00000X · License MPSS-RXCSEQ (CA)

401 S ST, Sacramento, CA 95811

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