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Organization
INNOVATIVE HOME HEALTH SERVICES
Active
Organization
INNOVATIVE HOME HEALTH SERVICES
Active
Parent organization
INNOVATIVE HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE HEALTH SYSTEMS
Authorized official
RICARDO DAVID TILLERY MBA, LCSW, CAADC (CEO)
(517) 515-6176
Entity
Organization
Contact information
Practice address
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917-3600
(517) 515-6176
Mailing address
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917-3600
(517) 515-6176
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
—
NULL
335G00000X
Medical Foods Supplier
—
NULL
Other
Enumeration date
09/14/2020
Last updated
11/27/2023
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