National Provider Identifier Database

INNOVATIVE CARE NETWORK
Community/Behavioral Health

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.


Contact Information

INNOVATIVE CARE NETWORK
3721 W MICHIGAN AVE STE 200
LANSING, MI48917-3600
Phone: 517-515-6176
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Case Manager/Care Coordinator 171M00000X
Community Health 261QC1500X
Corporate Health 261QC1800X
Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE CARE NETWORK

NPI Number 1255189023
Legal business name
LBN
INNOVATIVE CARE NETWORK
Authorized official RICARDO TILLERY - (AUTHORIZED AGENT)
Entity Organization
Organization subpart Yes
Enumeration date 05/08/2024
Last updated 05/08/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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