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INDIAN TRAILS CAMP, INC.
NPI 1629381868
Respite Care - Respite Care Camp in Grand Rapids, MI

Active since July 16, 2010
O-1859 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534(616) 677-5251 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indian Trails Camp, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN TRAILS CAMP, INC. (NPI 1629381868) is a healthcare organization registered as a respite care camp in Grand Rapids, Michigan and active in the NPI registry since July 2010. The organization lists Tim Hileman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629381868
Entity TypeOrganization
Primary Taxonomy385HR2050X
Legal Business NameINDIAN TRAILS CAMP, INC.
Location AddressO-1859 LAKE MICHIGAN DR NWGrand Rapids, MI 49534-9578
Mailing AddressO-1859 Lake Michigan Dr NwGrand Rapids, MI 49534-9578
Phone(616) 677-5251
Organization SubpartNo
Authorized OfficialTim HilemanExecutive Director · (616) 677-5251
Enumeration DateJuly 16, 2010
✔ NPI 1629381868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care CampRespite Care Facility
Taxonomy Code385HR2050X
License✔ Licensed in MI · CR700200614
Definition
A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.
O-1859 LAKE MICHIGAN DR NW, Grand Rapids, MI 49534
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUINTON ZAMARRIPA
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
DAN GAUTZ
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
KAITLYN ZANDBERGEN
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
ANNE HILL
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
HEATHER HINES
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
MICHAEL FISCHER
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Trails Camp, Inc.'s NPI number?

The NPI number for Indian Trails Camp, Inc. is 1629381868. It was assigned to this organization in the NPPES registry on July 16, 2010.

Where is Indian Trails Camp, Inc. located?

Indian Trails Camp, Inc. is located at O-1859 Lake Michigan Dr NW, Grand Rapids, MI 49534. The listed phone number is (616) 677-5251.

What is Indian Trails Camp, Inc.'s specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care Camp, with taxonomy code 385HR2050X.

When was this NPI record last updated?

The NPPES record for Indian Trails Camp, Inc. was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.