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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Innovative Care Network

Community/Behavioral Health Agency in Lansing, MI · enumerated 2024 · authorized official Ricardo Tillery, Authorized Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255189023

Verified

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Registry record

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 (517) 515-6176
Enumeration date May 8, 2024
Last updated in NPPES May 8, 2024

Taxonomy & classification

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QC1800X Corporate Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QP0905X State or Local Public Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Ricardo Tillery
Title Authorized Agent
Phone (517) 515-6176

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-08. Verify at npiregistry.cms.hhs.gov.
Where is Innovative Care Network located?
The practice location on file with NPPES is in Lansing, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-08.