OrganizationActive
Innovage Pennsylvania Life, LLC
NPI 1104954569 · PACE Provider Organization · Philadelphia, PA
Innovage Pennsylvania Life, LLC is a PACE Provider Organization organization in Philadelphia, PA (NPI 1104954569).
Provider details
- NPI number
- 1104954569
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Gayle Washington, Credentialing Director(303) 912-7193
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
6950 Germantown Ave
Philadelphia, PA 19119
Phone: (215) 951-4304
Fax: (267) 286-4910
Street-level locationGet directions
Mailing address
6950 Germantown Ave
Philadelphia, PA 19119-2114
Additional practice locations (3)
- 6970 Germantown AvePhiladelphia, PA 19119-2114Phone: (215) 951-4400
- 6970 Germantown AvePhiladelphia, PA 19119-2114Phone: (215) 951-4400
- 6950 Germantown AvePhiladelphia, PA 19119-2114Phone: (215) 951-4304Fax: (267) 286-4910
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2019-04-04
Frequently asked questions
- What is Innovage Pennsylvania Life, LLC's NPI number?
- Innovage Pennsylvania Life, LLC's National Provider Identifier (NPI) is 1104954569, 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 6950 Germantown Ave, Philadelphia, PA 19119.
- What is Innovage Pennsylvania Life, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovage Pennsylvania Life, LLC is (215) 951-4304.
- 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 Director. 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 (1104954569) is active in the NPPES registry as of the last update on 2019-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.