Individual provider · Type 1 NPI

Porsche Jalis McCullough

Adult Companion · Sacramento, CA

NPI number 1083414783 Active

Practice location

401 S St
Sacramento, CA 95811-6919

Call (916) 584-7800 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XMPSS-RXCSEQ (CA)

Adult Companion: 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.

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About NPI 1083414783

Porsche Jalis McCullough's National Provider Identifier is 1083414783, issued on Mar 13, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Sacramento, CA. The record was last updated on May 15, 2026.