INNOVAGE PENNSYLVANIA LIFE, LLC is a program of all inclusive care for the elderly pace provider organization in Philadelphia, PA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. INNOVAGE PENNSYLVANIA LIFE, LLC NPI is 1104954569. The provider is registered as an organization entity type.
The provider's business location address is:
6950 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 951-4304
Fax: (267) 286-4910
The provider's authorized official is Gayle M Washington .
The authorized official title is Credentialing Director and has the following contact phone number (303) 912-7193.
The CLIA number assigned to this NPI record is 39D2010481 - other - adult day center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/28/2007 and was last updated on 4/4/2019.