Organization
COMPANION CARE PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRANT (CEO)
(215) 618-2324
Entity
Organization
Contact information
Practice address
11880 BUSTLETON AVE STE 214, PHILADELPHIA, PA 19116-2500
(215) 618-2324
(215) 320-6011
Mailing address
11880 BUSTLETON AVE STE 214, PHILADELPHIA, PA 19116-2500
(215) 618-2324
(215) 320-6011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
29213601
PA
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103240246-001
—
PA
05
—
110157855A
—
MA
05
—
3112542
—
NH
Enumeration date
11/05/2015
Last updated
09/08/2020
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