Active NPI
Companion Care Partners LLC
- Personal Care Attendant
- Philadelphia, PA
National Provider Identifier
1245603794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- COMPANION CARE PARTNERS LLC
- Practice address
- 11880 Bustleton Ave Ste 214
Philadelphia, PA 19116-2500 - Phone
- (215) 618-2324
- Fax
- (215) 320-6011
- NPI assigned
- Nov 5, 2015
- Last updated
- Jul 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Grant
- Title
- Ceo
- Phone
- (215) 618-2324
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | Primary | |
| Homemaker | 376J00000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | 29213601 | PA | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
11880 Bustleton Ave Ste 214
Philadelphia, PA 19116-2500
Mailing address
11880 Bustleton Ave Ste 214
Philadelphia, PA 19116-2500
Phone (215) 618-2324
Other practice location 1
9000 Six Pines Dr
Shenandoah, TX 77380-4271
Phone (215) 618-2324
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245603794 | Medicaid | TX | |
| 110157855A | Medicaid | MA | |
| 3112542 | Medicaid | NH | |
| 103240246-001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
11880 Bustleton Ave
Ste 214
Philadelphia, PA 19116
Phone (215) 618-2324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1245603794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 BUSTLETON AVE STE 214",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162500",
"telephone_number": "215-618-2324",
"fax_number": "215-320-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 BUSTLETON AVE STE 214",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162500",
"telephone_number": "215-618-2324",
"fax_number": "215-320-6011"
}
],
"practiceLocations": [
{
"address_1": "9000 Six Pines Dr",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773804271",
"country_code": "US",
"telephone_number": "215-618-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMPANION CARE PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-618-2324"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "29213601",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245603794",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110157855A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3112542",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103240246-001",
"state": "PA"
}
],
"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 Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.