Innovage Pennsylvania Life, LLC
NPI 1588279657ActiveOrganization· PACE Provider Organization· Philadelphia, PA
PACE Provider Organization in Philadelphia, Pennsylvania, registered in NPPES in September 2020, part of Total Community Options Inc. The authorized official on file is Vanessa Deborah Walton, Chief Legal Officer.
Overview
| NPI | 1588279657 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Total Community Options Inc |
| NPI issued | Sep 15, 2020 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 14, 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 |
|---|
Other PACE Provider Organization providers in Philadelphia
- 1619739190
- 1013519735
- 1023612264
- 1104954569
- 1467056655
- 1881738565
- 1174881627
- 1710347661
- 1538210380
- 1619597747
- 1043683956
- 1083026082