Organization · Type 2 NPI

Innovage Pennsylvania Life, LLC

PACE Provider Organization · Philadelphia, PA

NPI number 1104954569 Active

Practice location

6950 Germantown Ave
Philadelphia, PA 19119

Call (215) 951-4304 Map

Fax (267) 286-4910

Other practice locations

  • 6970 Germantown Ave, Philadelphia, PA 19119-2114 · (215) 951-4400
  • 6970 Germantown Ave, Philadelphia, PA 19119-2114 · (215) 951-4400
  • 6950 Germantown Ave, Philadelphia, PA 19119-2114 · (215) 951-4304

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone 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…

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About NPI 1104954569

Innovage Pennsylvania Life, LLC's National Provider Identifier is 1104954569, issued on Feb 28, 2007. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 4, 2019.