Healthcare Provider Details

I. General information

NPI: 1538099064
Provider Name (Legal Business Name): MCCULLOUGH PREMIER HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 INDUSTRIAL BLVD STE 3044
SUGAR LAND TX
77478-2602
US

IV. Provider business mailing address

17350 STATE HIGHWAY 249 STE 220 STE 220,#35789
HOUSTON TX
77064-1132
US

V. Phone/Fax

Practice location:
  • Phone: 832-816-8087
  • Fax:
Mailing address:
  • Phone: 832-816-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIQUE HERMEL ALLEN
Title or Position: MANAGING MEMBER/OWNER
Credential: REGISTERED NURSE
Phone: 832-816-8087