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Innovage Pennsylvania Life, Llc
PACE Provider Organization in Philadelphia, Pennsylvania
NPI 1467056655

Innovage Pennsylvania Life, Llc is a PACE Provider Organization based in Denver, PA. Innovage Pennsylvania Life, Llc practices in Philadelphia, PA. The NPI Number for Innovage Pennsylvania Life, Llc is 1467056655 and holds a License No. (Pennsylvania).

The current practice location address for Innovage Pennsylvania Life, Llc is 5364 Jackson St, Philadelphia, PA and can be reached out via phone at 215-288-3303.

Location: 5364 Jackson St, Philadelphia, PA, 80230-7030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467056655
Provider Name
Innovage Pennsylvania Life, Llc
Credential
Provider Entity Type
Organization
Address
5364 Jackson St, Philadelphia, PA, 80230-7030
Phone Number
215-288-3303
Fax Number
Provider Enumeration Date
11/28/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
101734256-0004 05 PA
institution
Provider Business Practice Location Address Details
Address
5364 Jackson St
City
Philadelphia
State
Pennsylvania
Zip
19124-1565
Phone Number
215-288-3303
Fax Number
person
Provider Business Mailing Address Details
Address
5364 Jackson St
City
Philadelphia
State
Pennsylvania
Zip
19124-1565
Phone Number
215-288-3303
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
()
Definition
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.
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