Healthcare Provider Details

I. General information

NPI: 1356290373
Provider Name (Legal Business Name): THE MONROE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10221 LANEHART RD APT 11
LITTLE ROCK AR
72204-8781
US

IV. Provider business mailing address

10221 LANEHART RD APT 11
LITTLE ROCK AR
72204-8781
US

V. Phone/Fax

Practice location:
  • Phone: 501-291-2771
  • Fax:
Mailing address:
  • Phone: 501-291-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA LEE MCCULLUM
Title or Position: OWNER/OPERATOR
Credential:
Phone: 501-291-2771