Organization Active NPI

Home Side Companion Care

  • Home Health Aide
  • Philadelphia, PA
National Provider Identifier
1417812850
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
HOME SIDE COMPANION CARE
Practice address
1029 W Ruscomb St
Philadelphia, PA 19141-3909
Phone
(267) 515-2644
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Ms. Anika Kennedy
Title
Ceo
Phone
(267) 796-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1029 W Ruscomb St
Philadelphia, PA 19141-3909

Mailing address

1029 W Ruscomb St
Philadelphia, PA 19141-3909
Phone (267) 515-2644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1417812850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W RUSCOMB ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413909",
            "telephone_number": "267-515-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W RUSCOMB ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413909",
            "telephone_number": "267-515-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SIDE COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-796-0056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "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 Dec 18, 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.