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NPI · 1104954569 · NPPES-sourced

Innovage Pennsylvania Life, LLC

ActivePACE Provider Organization
NPI Number
1104954569
Type 2 · Organisation
Taxonomy Code
251T00000X
Contact
(215) 951-4304
Primary practice line
Last Updated
About 7 years ago (Apr 2019)
Enumerated 2007-02-28
Primary practice addressPA · 19119
6950 Germantown AvePhiladelphia, PA 19119
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About this NPIWhat this record shows.

NPI 1104954569 is registered to Innovage Pennsylvania Life, LLC, a healthcare organisation classified as "PACE Provider Organization" and located at 6950 Germantown Ave in Philadelphia, Pennsylvania. The organisation's authorised official is Gayle Washington. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-02-28
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Innovage Pennsylvania Life, LLC accepts. To confirm in-network status with your specific health plan, contact Innovage Pennsylvania Life, LLC directly at (215) 951-4304.

Frequently asked

Yes. NPI 1104954569 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

PACE Provider Organization is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (215) 951-4304.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Innovage Pennsylvania Life, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy251T00000X
Last updated2019-04
Enumerated2007-02-28
StatusActive
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