National Provider Identifier Database

INNOVATIVE HEALTH SYSTEMS
Corporate Health

Contact Information

INNOVATIVE HEALTH SYSTEMS
3721 W MICHIGAN AVE STE 200
LANSING, MI  48917-3600
Phone: 517-515-6176
Fax:
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X
Adult Day Care 261QA0600X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Clinical 1041C0700X
Community Health 261QC1500X
Community/Behavioral Health 251S00000X
Day Training, Developmentally Disabled Services 251C00000X
Early Intervention Provider Agency 252Y00000X
Home Health 251E00000X
In Home Supportive Care 253Z00000X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Public Health or Welfare 251K00000X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE HEALTH SYSTEMS

NPI Number 1427676436
Legal business name
LBN		 INNOVATIVE HEALTH SYSTEMS
Authorized official RICARDO TILLERY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/07/2020
Last updated 07/07/2020 - About 6 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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