Active NPI
Faith Health Systems
- Multi-Specialty Clinic/Center
- Lansing, MI
National Provider Identifier
1366937435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- FAITH HEALTH SYSTEMS
- Practice address
- 3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600 - Phone
- (517) 481-6270
- NPI assigned
- Jun 29, 2018
- Last updated
- Oct 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricardo David Tillery, MBA, LMSW, CAADC
- Title
- Ceo
- Phone
- (517) 703-3387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
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) 481-6270
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1528380623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1366937435",
"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": "517-481-6270"
},
{
"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": "517-481-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-29",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"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": "517-703-3387",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, LMSW, 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": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"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": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 31, 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.