Innovative Care Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE CARE NETWORK

Practice address

3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600

Phone

(517) 515-6176

NPI assigned

May 8, 2024

Organization subpart

Yes

Parent organization

INNOVATIVE HEALTH SYSTEMSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ricardo Tillery, MBA, LCSW, SAP, CCS

Title

Authorized Agent

Phone

(517) 515-6176

Specialties & licenses 5

Addresses

Part of

Innovative Health Systems

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Innovative Health Systems

  • Corporate Health Clinic/Center
  • Lansing, MI
  • NPI 1427676436
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1255189023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 W MICHIGAN AVE STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173600",
            "telephone_number": "517-515-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 W MICHIGAN AVE STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173600",
            "telephone_number": "517-515-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE HEALTH SYSTEMS",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "TILLERY",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "517-515-6176",
        "authorized_official_credential": "MBA, LCSW, SAP, CCS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Healing Counseling Center
• Inner Peace Therapy, LLC
• Innovative Addiction Services
• Innovative Behavioral Health
• Innovative Behavioral Solutions
• Innovative Child & Family Services
• Innovative Health Systems
• Innovative Home Health Services
• Innovative Integrated Health Systems
• Inspire Care LLC

• Community/Behavioral Health Agency in Lansing, MI
• Providers in Lansing, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.