INNOVATIVE HOME HEALTH SERVICES (NPI# 1336754571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336754571 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HOME HEALTH SERVICES |
| Practice Address |
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 |
| Practice Telephone | 5175156176 |
| Mailing Telephone | 5175156176 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | RICARDO DAVID TILLERY (CEO) |
| Authorized Official Telephone | 5175156176 |
| Authorized Official Credential | MBA, LCSW, CAADC |
| Is Organization Subpart | Y |
| Parent Organization Name | INNOVATIVE HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| N | 335G00000X | Medical Foods Supplier | Suppliers | ||
| Y | 251E00000X | Home Health | Agencies |
| 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 |
| 1164035051 | Innovative Behavioral Health | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-08-28 |
| 1427676436 | Innovative Health Systems | Social Worker | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-07-07 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844042 | Connie Elaine Crump | Home Health | 730 W. Ionia St Apt 303, Lansing, MI 48915 | 2020-08-31 |
| 1508481946 | Icare Concierge Personal Errand Services | Home Health | 6319 Frank N Dot Ct Apt 3, Lansing, MI 48917-2483 | 2020-06-11 |
| 1851914550 | Destini Murchison | Home Health | 513 E Edgewood Blvd Apt 111, Lansing, MI 48911-5916 | 2020-05-28 |
| 1174146583 | Angela Smith | Home Health | 5012 Palisade Dr, Lansing, MI 48917-1577 | 2020-05-20 |
| 1720635410 | Asap Staffing LLC | Home Health | 5700 Executive Dr Ste 1, Lansing, MI 48911-5301 | 2019-08-19 |
| 1841760303 | Ascension Home Health Care | Home Health | 5218 S Martin Luther King Jr Blvd, Lansing, MI 48911-3538 | 2018-11-27 |
| 1215426887 | Personal Touch Independent Living Agency | Home Health | 312 Farmstead Ln, Lansing, MI 48917-3017 | 2018-05-08 |
| 1861900300 | Andrew D Brewer Jr. | Home Health | 3121 Lucie St, Lansing, MI 48911-2819 | 2018-01-18 |
| 1083152045 | Glory Home Maker Home Health Services Inc | Home Health | 18236 Ridgewood Ave, Lansing, IL 60438-3024 | 2017-02-09 |
| 1396289922 | Giving Tree Farm, Inc | Home Health | 15413 Turner Rd, Lansing, MI 48906-1133 | 2016-12-16 |
| Find all providers in LANSING | ||||
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| 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.