TRINITY HEALTH LIFE PENNSYLVANIA, INC. (NPI# 1710347661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710347661 |
| Entity Type | Organization |
| Organization Name | TRINITY HEALTH LIFE PENNSYLVANIA, INC. |
| Other Organization Name | MERCY LIFE - WEST PHILADELPHIA |
| Practice Address |
4508 Chestnut St Philadelphia PA 19139-3608 |
| Mailing Address |
20255 Victor Pkwy Livonia MI 48152-7018 |
| Practice Telephone | 2155737200 |
| Mailing Telephone | 7343430717 |
| Mailing Fax Number | 2483475201 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MRS. ANNE M LEWIS (VICE PRESIDENT STRATEGY AND GROWTH) |
| Authorized Official Telephone | 4066693332 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH LIFE PENNSYLVANIA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| Mercy LIFE - West Philadelphia | Doing Business As Name - Organization |
| Street Address |
4508 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114186723 | Elizabeth Mary Dalton | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-09 |
| 1952934135 | Shakitta Denise Plant | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2020-02-17 |
| 1245752310 | Alexandra Elizabeth Zamore | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2017-07-11 |
| 1902333560 | Jaclyn Sims | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2017-05-15 |
| 1407297179 | Pamela Z Cacchione | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2013-07-10 |
| 1821324492 | Megan Mcglade | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2009-11-02 |
| 1649429267 | Judith Draper | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-09-18 |
| 1053576835 | Upenn Life | Health Maintenance Organization | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-07-22 |
| 1326209495 | Nancy L Bocchino | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| 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. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279657 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 4401 Megargee St, Philadelphia, PA 19136-2160 | 2020-09-15 |
| 1265919377 | Cozy Caregivers Homecare Agency | PACE Provider Organization | 5031 Baltimore Ave Apt 1, Philadelphia, PA 19143-1670 | 2018-07-20 |
| 1033618996 | Acts of Faith Corp | PACE Provider Organization | 2453 S 61st St, Philadelphia, PA 19142-3215 | 2018-02-06 |
| 1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
| 1174881627 | St. Agnes Continuing Care Center | PACE Provider Organization | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2012-05-02 |
| 1104954569 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 6950 Germantown Ave, Philadelphia, PA 19119 | 2007-02-28 |
| 1881738565 | Saint Agnes Continuing Care Center | PACE Provider Organization | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102731 | Bitner Counseling, LLC | PACE Provider Organization | 1 Northgate Sq Ste 215, Greensburg, PA 15601-1373 | 2020-07-27 |
| 1477949139 | Care At Home of Delaware Valley | PACE Provider Organization | 102 Center Mill Rd, Chadds Ford, PA 19317-9212 | 2015-04-09 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1851647796 | Albright Care Services | PACE Provider Organization | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1073802013 | Support for Independent Living, LLC | PACE Provider Organization | 2320 Haverford Rd, Suite 220, Ardmore, PA 19003-2913 | 2011-03-30 |
| 1023289147 | Phi Life | PACE Provider Organization | 1217 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2008-03-17 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1710182647 | Viecare Butler, LLC | PACE Provider Organization | 229 W Diamond St, Butler, PA 16001-5784 | 2007-06-20 |
| 1891822284 | Albright Life | PACE Provider Organization | 417 W Frederick St, Lancaster, PA 17603-2804 | 2007-02-27 |
| 1902932007 | Albright Care Services | PACE Provider Organization | 400 Lycoming St, Williamsport, PA 17701-4974 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.