Innovative Care Network
Innovative Care Network is a healthcare organization registered as Community/Behavioral Health Agency in Lansing, MI, holding Type 2 (organization) NPI 1255189023 since 2024. The authorized official on file is Ricardo Tillery, Authorized Agent.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1255189023 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innovative Care Network |
| Parent organization | Innovative Health Systems |
| Practice address | 3721 W MICHIGAN AVE STE 200, Lansing, MI, 48917 |
| Phone | 5175156176 |
| Enumeration date | 2024-05-08 |
| Last updated in NPPES | 2024-05-08 |
Authorized official
| Name | Ricardo Tillery |
|---|---|
| Title | Authorized Agent |
| Phone | 5175156176 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | Secondary | — | — |
| 261QC1500X | Community Health Clinic/Center | Secondary | — | — |
| 261QC1800X | Corporate Health Clinic/Center | Secondary | — | — |
| 261QP0905X | State or Local Public Health Clinic/Center | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Innovative Care Network NPI: 1255189023 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 3721 W MICHIGAN AVE STE 200, Lansing, MI, 48917
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528380623 | Ricardo Tillery | Individual | Clinical Social Worker | Lansing, MI |
| 1396128088 | Innovative Behavioral Solutions | Organization | Clinical Social Worker | Lansing, MI |
| 1114389301 | Candace Tillery | Individual | Clinical Social Worker | Lansing, MI |
| 1407347099 | Jewel Eva Mcjennett | Individual | Clinical Social Worker | Lansing, MI |
| 1366937435 | Faith Health Systems | Organization | Multi-Specialty Clinic/Center | Lansing, MI |
| 1265912281 | Community Behavioral Health Authority | Organization | Community/Behavioral Health Agency | Lansing, MI |
| 1427676436 | Innovative Health Systems | Organization | Corporate Health Clinic/Center | Lansing, MI |
| 1750909768 | Medicab | Organization | Non-emergency Medical Transport (VAN) | Lansing, MI |
Verify this record
Cross-check NPI 1255189023 against the authoritative CMS record: view Innovative Care Network on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Innovative Care Network located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-05-08.