Organization Active NPI

Companion Care Partners LLC

  • Personal Care Attendant
  • Philadelphia, PA
National Provider Identifier
1245603794
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245603794MedicaidTX
110157855AMedicaidMA
3112542MedicaidNH
103240246-001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.