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INDIAN TRAILS CAMP, INC.
NPI 1972847184
Respite Care in Grand Rapids, MI

Active since November 15, 2012
O-1859 LAKE MICHIGAN DR. NW, GRAND RAPIDS, MI 49534(616) 677-5251(616) 677-2955 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 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 1972847184) is a healthcare organization registered as a respite care in Grand Rapids, Michigan and active in the NPI registry since November 2012. The organization lists Timothy Hileman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972847184
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameINDIAN TRAILS CAMP, INC.
Location AddressO-1859 LAKE MICHIGAN DR. NWGrand Rapids, MI 49534
Mailing AddressPo Box 97Grandville, MI 49468 · (616) 677-5251 · Fax (616) 677-2955
Phone(616) 677-5251
Fax(616) 677-2955
Organization SubpartNo
Authorized OfficialTimothy HilemanExecutive Director · (616) 677-5251
Enumeration DateNovember 15, 2012
✔ NPI 1972847184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
Licenses✔ Licensed in MI · SR700200220✔ Licensed in MI · AC700200613
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
O-1859 LAKE MICHIGAN DR. NW, Grand Rapids, MI 49534
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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 1972847184. It was assigned to this organization in the NPPES registry on November 15, 2012.

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 with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Indian Trails Camp, Inc. was last updated on November 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.