OrganizationActive
Innovage Pennsylvania Life, LLC
NPI 1013519735 · PACE Provider Organization · Philadelphia, PA
Innovage Pennsylvania Life, LLC is a PACE Provider Organization organization in Philadelphia, PA (NPI 1013519735).
Provider details
- NPI number
- 1013519735
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Innovage Pennsylvania Life - Allegheny
- Organization subpart
- Yes
- Authorized official
- Gayle Washington, Credentialing(303) 912-7193
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1940 W Allegheny Ave
Philadelphia, PA 19132-1614
Phone: (267) 335-1500
Street-level locationGet directions
Mailing address
8950 E Lowry Blvd
Denver, CO 80230-7030
Other names (DBA / former)
- Doing business as
- 'Innovage Pennsylvania Life - LLC
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Frequently asked questions
- What is Innovage Pennsylvania Life, LLC's NPI number?
- Innovage Pennsylvania Life, LLC's National Provider Identifier (NPI) is 1013519735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovage Pennsylvania Life, LLC?
- Innovage Pennsylvania Life, LLC is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Innovage Pennsylvania Life, LLC located?
- Innovage Pennsylvania Life, LLC's practice location on file with NPPES is 1940 W Allegheny Ave, Philadelphia, PA 19132-1614.
- What is Innovage Pennsylvania Life, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovage Pennsylvania Life, LLC is (267) 335-1500.
- Who is the authorized official for Innovage Pennsylvania Life, LLC?
- The authorized official listed on Innovage Pennsylvania Life, LLC's NPPES record is Gayle Washington, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovage Pennsylvania Life, LLC's NPI active?
- Yes — Innovage Pennsylvania Life, LLC's NPI (1013519735) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.