INDIAN TRAILS CAMP, INC. – NPI #1972847184
Respite Care

INDIAN TRAILS CAMP, INC. is a respite care facility located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1972847184 to INDIAN TRAILS CAMP, INC. on November 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIAN TRAILS CAMP, INC. below.

NPI Profile for
INDIAN TRAILS CAMP, INC.

NPI Number
1972847184
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIAN TRAILS CAMP, INC.
Primary location
O-1859 LAKE MICHIGAN DR. NW
GRAND RAPIDS, MI 49534
Phone: (616) 677-5251 Fax: (616) 677-2955
Mailing address
PO BOX 97
GRANDVILLE, MI 49468
Phone: (616) 677-5251 Fax: (616) 677-2955
Organization Subpart
No
Authorized Official
TIMOTHY HILEMAN
EXECUTIVE DIRECTOR
Phone: (616) 677-5251
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385H00000X
- Respite Care (Primary)		 MI SR700200220
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.