Organization · Type 2 NPI

Innovage Pennsylvania Life, LLC

PACE Provider Organization · Philadelphia, PA

NPI number 1013519735 Active

Practice location

1940 W Allegheny Ave
Philadelphia, PA 19132-1614

Call (267) 335-1500 Map

Mailing address

8950 E Lowry Blvd
Denver, CO 80230-7030

Specialties and licenses

Taxonomy	Code	License
PACE Provider Organization Primary	251T00000X	None listed

PACE Provider Organization: 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 ser…

Another provider at this address

Alan P. Berg, MDGeriatric Medicine (Internal Medicine) Physician Philadelphia, PA NPI 1548338874

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NPI record

NPI: 1013519735
Entity type: Organization (Type 2)
Issued: Nov 9, 2020
Last updated: Nov 9, 2020
Status: Active
Subpart: Yes of Innovage Pennsylvania Life - Allegheny

Other names

'innovage Pennsylvania Life - LLC · doing business as

Authorized official

Gayle M Washington
Credentialing
(303) 912-7193

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013519735

Innovage Pennsylvania Life, LLC's National Provider Identifier is 1013519735, issued on Nov 9, 2020. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 9, 2020.