Organization Active NPI

Prodigy Home Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1063950376
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRODIGY HOME CARE LLC
Practice address
6324 N Gratz St
Philadelphia, PA 19141-1432
Phone
(215) 934-2047
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jannett Mitchell
Title
Owner
Phone
(215) 934-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6324 N Gratz St
Philadelphia, PA 19141-1432

Mailing address

6324 N Gratz St
Philadelphia, PA 19141-1432
Phone (215) 934-2047

National Provider Directory

National Provider Directory

Locations

6137 Limekiln Pike
Philadelphia, PA 19141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1063950376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 N GRATZ ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411432",
            "telephone_number": "215-934-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 N GRATZ ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411432",
            "telephone_number": "215-934-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JANNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-934-2047"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.