INNOVATIVE CARE NETWORK
NPI 1255189023
Community/Behavioral Health in Lansing, MI

Active since May 08, 2024
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917(517) 515-6176 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Innovative Care Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE CARE NETWORK (NPI 1255189023) is a healthcare organization registered as a community/behavioral health in Lansing, Michigan and active in the NPI registry since May 2024. The organization lists Ricardo Tillery, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1255189023
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINNOVATIVE CARE NETWORK
Location Address3721 W MICHIGAN AVE STE 200Lansing, MI 48917-3600
Mailing Address3721 W Michigan Ave Ste 200Lansing, MI 48917-3600 · (517) 515-6176
Organization SubpartYesParent: Innovative Health Systems
Authorized OfficialRicardo TilleryAuthorized Agent · (517) 515-6176
Enumeration DateMay 8, 2024
NPPES CertifiedMay 7, 2024
NPI 1255189023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Corporate HealthTaxonomy 261QC1800X
3721 W MICHIGAN AVE STE 200, Lansing, MI 48917

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Corporate Health)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Non-emergency Medical Transport (VAN)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Rehabilitation, Substance Use Disorder)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Home Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255189023, enumerated as an "organization" on May 08, 2024.

The provider is located at 3721 W MICHIGAN AVE STE 200 LANSING, MI 48917 and the phone number is (517) 515-6176.

Community/Behavioral Health with taxonomy code 251S00000X.