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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI 1538210380


NPI Information

NPI: 1538210380
Provider Name: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

Doing Business As: LIFE (LIVING INDEPENDENTLY FOR ELDERS)

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
4101 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 573-7200
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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 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. TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA NPI is 1538210380. The provider is registered as an organization entity type.
The provider Is Doing Business As Life (living Independently For Elders).

The provider's business location address is:

4101 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104-510
Phone: (215) 573-7200
Fax: (215) 573-4442

The provider's authorized official is Wayne D. Pendleton .
The authorized official title is Executive Director and has the following contact phone number (215) 898-4417.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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