Innovage Pennsylvania Life, LLC
NPI 1013519735ActiveOrganization· PACE Provider Organization· Philadelphia, PA
PACE Provider Organization in Philadelphia, Pennsylvania, registered in NPPES in November 2020, part of Innovage Pennsylvania Life - Allegheny. The authorized official on file is Gayle M. Washington, Credentialing.
Overview
| NPI | 1013519735 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Innovage Pennsylvania Life - Allegheny |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Nov 9, 2020 |
| Certified by provider | Nov 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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