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MR. QUINCY EUGENE MCCULLOUGH
NPI 1184223943
Assisted Living Facility in Victorville, CA

Active since October 22, 2020
15693 CHOCTAW ST, VICTORVILLE, CA 92395(442) 229-2100(442) 229-2100 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Quincy Eugene Mccullough NPPES

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

MR. QUINCY EUGENE MCCULLOUGH (NPI 1184223943) is an individual assisted living facility provider in Victorville, California, licensed in California (361800175) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1184223943
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameMR. QUINCY EUGENE MCCULLOUGH
Location Address15693 CHOCTAW STVictorville, CA 92395-5531
Mailing Address15693 Choctaw StVictorville, CA 92395-5531 · (442) 229-2100 · Fax (442) 229-2100
Phone(442) 229-2100
Fax(442) 229-2100
Sole ProprietorYes
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1184223943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 361800175
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
15693 CHOCTAW ST, Victorville, CA 92395
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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 Quincy Mccullough's NPI number?

The NPI number for Quincy Mccullough is 1184223943. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Quincy Mccullough located?

Quincy Mccullough practices at 15693 Choctaw St, Victorville, CA 92395. The listed phone number is (442) 229-2100.

What is Quincy Mccullough's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Quincy Mccullough was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.