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

Innovage Pennsylvania Life, LLC

Organization PACE Provider Organization · NPI 1104954569

Innovage Pennsylvania Life, LLC is a PACE Provider Organization in Philadelphia, Pennsylvania. Works from 4 locations. Registered with an NPI since 2007.

In the registry since
2007
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

6950 Germantown Ave
Philadelphia, PA 19119
Phone: (215) 951-4304
Fax: (267) 286-4910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

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

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1104954569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayle Washington — Credentialing Director · (303) 912-7193
NPI enumeratedFebruary 28, 2007
Last updated in NPPESApril 4, 2019
Mailing address6950 Germantown Ave, Philadelphia, PA 19119-2114

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