MERCY LIFE - WEST PHILADELPHIA
NPI 1710347661
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Philadelphia, PA

Active since March 03, 2016CLIA 39D1000222 · Waiver
4508 CHESTNUT ST, PHILADELPHIA, PA 19139(215) 573-7200 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercy Life - West Philadelphia NPPES

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

MERCY LIFE - WEST PHILADELPHIA (NPI 1710347661) 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 March 2016. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Anne M Lewis, Vice President Strategy And Growth, as its authorized official.

NPPES Registry Identity

NPI1710347661
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameTRINITY HEALTH LIFE PENNSYLVANIA, INC.
Location Address4508 CHESTNUT STPhiladelphia, PA 19139-3608
Mailing Address20255 Victor PkwyLivonia, MI 48152-7018 · (734) 343-0717 · Fax (248) 347-5201
Organization SubpartYesParent: Trinity Health Life Pennsylvania, Inc
Authorized OfficialAnne M LewisVice President Strategy And Growth · (406) 669-3332
Enumeration DateMarch 3, 2016
NPI 1710347661 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.

4508 CHESTNUT ST, Philadelphia, PA 19139

Other Names 1

Doing Business AsMercy Life - West Philadelphia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1000222

Mercy Life West Philadelphia Trinity Health Life Pennsylvania Inc · Philadelphia, PA
Active · expires Jun 4, 2028
CLIA Number39D1000222
Laboratory TypeHome Health Agency
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorDr. Kimberly May
Laboratory Phone(267) 787-8300
Laboratory LocationMercy Life West Philadelphia Trinity Health Life Pennsylvania Inc4508 Chestnut Street, Philadelphia, PA 19139
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Gerontology)
4508 CHESTNUT ST
PHILA, PA 19139
Health Maintenance Organization
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Registered Nurse (Psychiatric/Mental Health, Adult)
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Gerontology)
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Nurse Practitioner
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Gerontology)
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Gerontology)
4508 CHESTNUT ST
PHILADELPHIA, PA 19139
Family Medicine
4508 CHESTNUT ST
PHILADELPHIA, PA 19139

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 Trinity Health Life Pennsylvania, Inc.'s NPI number?

The NPI number for Trinity Health Life Pennsylvania, Inc. is 1710347661. It was assigned to this organization in the NPPES registry on March 3, 2016. The provider is doing business as Mercy Life - West Philadelphia.

Where is Trinity Health Life Pennsylvania, Inc. located?

Trinity Health Life Pennsylvania, Inc. is located at 4508 Chestnut St, Philadelphia, PA 19139. The listed phone number is (215) 573-7200.

What is Trinity Health Life Pennsylvania, Inc.'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.

Does Trinity Health Life Pennsylvania, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1000222) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Health Life Pennsylvania, Inc. was last updated on March 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.