OrganizationActive
Innovage Pennsylvania Life, LLC
NPI 1467056655 · PACE Provider Organization · Philadelphia, PA
Innovage Pennsylvania Life, LLC is a PACE Provider Organization organization in Philadelphia, PA (NPI 1467056655).
Provider details
- NPI number
- 1467056655
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Innovage Pennsylvania Life, LLC
- Organization subpart
- Yes
- Authorized official
- Lezlie Corbin, Credentialing Coordinator(215) 734-9587
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
5364 Jackson St
Philadelphia, PA 19124-1565
Phone: (215) 288-3303
Street-level locationGet directions
Mailing address
8950 E Lowry Blvd
Denver, CO 80230-7030
Other names (DBA / former)
- Doing business as
- Innovage Pennsylvania Life - St. Bart'S
Registry dates
- Enumerated
- 2020-11-28
- Last updated
- 2020-11-28
- Certified
- 2020-11-28
Frequently asked questions
- What is Innovage Pennsylvania Life, LLC's NPI number?
- Innovage Pennsylvania Life, LLC's National Provider Identifier (NPI) is 1467056655, 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 5364 Jackson St, Philadelphia, PA 19124-1565.
- 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) 288-3303.
- Who is the authorized official for Innovage Pennsylvania Life, LLC?
- The authorized official listed on Innovage Pennsylvania Life, LLC's NPPES record is Lezlie Corbin, Credentialing Coordinator. 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 (1467056655) is active in the NPPES registry as of the last update on 2020-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.