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 1467056655

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

5364 Jackson St
Philadelphia, PA 19124-1565
Phone: (215) 288-3303
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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 number1467056655
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovage Pennsylvania Life, LLC
Authorized official Lezlie Corbin — Credentialing Coordinator · (215) 734-9587
Other names Innovage Pennsylvania Life - St. Bart'S
NPI enumeratedNovember 28, 2020
Last updated in NPPESNovember 28, 2020
Certification dateNovember 28, 2020
Mailing address8950 E Lowry Blvd, Denver, CO 80230-7030

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