Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Innovage Pennsylvania Life, LLC

Organization PACE Provider Organization · NPI 1013519735

Innovage Pennsylvania Life, LLC is a PACE Provider Organization in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1940 W Allegheny Ave
Philadelphia, PA 19132-1614
Phone: (267) 335-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1013519735
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovage Pennsylvania Life - Allegheny
Authorized official Gayle Washington — Credentialing · (303) 912-7193
Other names Innovage Pennsylvania Life - Llc
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing address8950 E Lowry Blvd, Denver, CO 80230-7030

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