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

Q: What is Innovative Care Network's NPI number?

The NPI number for Innovative Care Network is 1255189023. It was assigned to this organization in the NPPES registry on May 8, 2024.

Q: What is Innovative Care Network's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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: August 16, 2026.

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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

Phone(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

Also ListedClinic/Center · Public Health, State or LocalTaxonomy 261QP0905X

3721 W MICHIGAN AVE STE 200, Lansing, MI 48917

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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.

MRS. CANDACE LYNN TILLERY LMSW, CAADC, SAP

Social Worker (Clinical)