INNOVATIVE HEALTH SYSTEMS (NPI# 1427676436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427676436 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTH SYSTEMS |
| Practice Address |
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 |
| Practice Telephone | 5175156176 |
| Mailing Telephone | 5175156176 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MR. RICARDO DAVID TILLERY (CEO) |
| Authorized Official Telephone | 5177033387 |
| Authorized Official Credential | MBA, LCSW, SAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Innovative Health Systems, Inc. | 515 Ponderosa View, Manitou Springs, CO 80829 |
| New York State Corporations | INNOVATIVE HEALTH SYSTEMS, INC. | 20 Church Street, Attn: Avrohum Dovid Hikind, White Plains, Ny 10601 |
| Street Address |
3721 W MICHIGAN AVE STE 200 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528380623 | Ricardo David Tillery | Counselor | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2010-02-17 |
| 1336754571 | Innovative Home Health Services | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-09-14 |
| 1164035051 | Innovative Behavioral Health | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-08-28 |
| 1750909768 | Medicab | Meals | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-07-07 |
| 1265912281 | Community Behavioral Health Authority | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-08-20 |
| 1366937435 | Faith Health Systems | Community/Behavioral Health | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-06-29 |
| 1407347099 | Jewel Eva Meredith-brenda Mcjennett | Social Worker | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-05-20 |
| 1114389301 | Candace Buckner | Counselor | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205036654 | Donna Deyoung Smith | Clinic/Center | 3688 Eaton Gate Ln, Auburn Hills, MI 48326-3892 | 2007-07-24 |
| 1043338130 | The Dow Chemical Company | Clinic/Center | Abbott Rd, Health Services, Edc, Midland, MI 48674-0001 | 2007-03-27 |
| 1245896000 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd., Community Health - D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1649643792 | Carehere Management, Pllc | Clinic/Center | 150 Kendall St S, Battle Creek, MI 49037-8471 | 2015-11-10 |
| 1205237138 | Costco Warehouse | Clinic/Center | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2014-09-10 |
| 1760656623 | Dr Crowes Lighthouse Chiropractic | Clinic/Center | 1616 Ludington St, Escanaba, MI 49829-2840 | 2008-04-22 |
Please comment or provide details below to improve the information on INNOVATIVE HEALTH SYSTEMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.