INNOVAGE PENNSYLVANIA LIFE, LLC
NPI 1013519735
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Philadelphia, PA

Active since November 09, 2020
1940 W ALLEGHENY AVE, PHILADELPHIA, PA 19132(267) 335-1500 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovage Pennsylvania Life, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVAGE PENNSYLVANIA LIFE, LLC (NPI 1013519735), doing business as 'innovage Pennsylvania Life - Llc, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Philadelphia, Pennsylvania and active in the NPI registry since November 2020. The organization lists Gayle M Washington, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1013519735
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameINNOVAGE PENNSYLVANIA LIFE, LLC
Location Address1940 W ALLEGHENY AVEPhiladelphia, PA 19132-1614
Mailing Address8950 E Lowry BlvdDenver, CO 80230-7030 · (303) 912-7193
Organization SubpartYesParent: Innovage Pennsylvania Life - Allegheny
Authorized OfficialGayle M WashingtonCredentialing · (303) 912-7193
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
NPI 1013519735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1940 W ALLEGHENY AVE, Philadelphia, PA 19132

Other Names 1

Doing Business As'innovage Pennsylvania Life - Llc

Other Identifiers 1

Medicaid101734256-0001PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
1940 W ALLEGHENY AVE
PHILADELPHIA, PA 19132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovage Pennsylvania Life, LLC's NPI number?

The NPI number for Innovage Pennsylvania Life, LLC is 1013519735. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as 'InnovAge Pennsylvania LIFE - LLC.

Where is Innovage Pennsylvania Life, LLC located?

Innovage Pennsylvania Life, LLC is located at 1940 W Allegheny Ave, Philadelphia, PA 19132. The listed phone number is (267) 335-1500.

What is Innovage Pennsylvania Life, LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Innovage Pennsylvania Life, LLC was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.