Active NPI
Innovative Home Health Services
- Home Health Agency
- Lansing, MI
National Provider Identifier
1336754571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INNOVATIVE HOME HEALTH SERVICES
- Practice address
- 3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600 - Phone
- (517) 515-6176
- NPI assigned
- Sep 14, 2020
- Organization subpart
- Yes
- Parent organization
- INNOVATIVE HEALTH SYSTEMS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo David Tillery, MBA, LCSW, CAADC
- Title
- Ceo
- Phone
- (517) 515-6176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| General Acute Care Hospital | 282N00000X | |||
| Medical Foods Supplier | 335G00000X |
Addresses
Primary practice location
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Mailing address
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone (517) 515-6176
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | innovation.senior.care@gmail.com | Direct | Innovative Health Systems |
National Provider Directory
National Provider Directory- Part of
- Innovative Health Systems
Ownership & related parties
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.
-
- Corporate Health Clinic/Center
- Lansing, MI
- NPI 1427676436
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1528380623
-
- Clinical Social Worker
- Lansing, MI
- NPI 1114389301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1336754571",
"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 HOME HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INNOVATIVE HEALTH SYSTEMS",
"enumeration_date": "2020-09-14",
"last_updated": "2023-11-27",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "TILLERY",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "517-515-6176",
"authorized_official_credential": "MBA, LCSW, CAADC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "innovation.senior.care@gmail.com",
"affiliation": "Y",
"endpointDescription": "web",
"affiliationName": "Innovative Health Systems",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3721 W Michigan Ave Ste 200",
"city": "Lansing",
"state": "MI",
"country_code": "US",
"postal_code": "489173600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.