Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Care Network

Organization Case Manager/Care Coordinator · NPI 1255189023

Innovative Care Network is a Case Manager/Care Coordinator in Lansing, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone: (517) 515-6176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Corporate Health Clinic/Center Taxonomy 261QC1800X
State or Local Public Health Clinic/Center Taxonomy 261QP0905X

Record details

NPI number1255189023
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationInnovative Health Systems
Authorized official Ricardo Tillery — Authorized Agent · (517) 515-6176
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 7, 2024
Mailing address3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600

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