OrganizationActive
Indian Trails Camp, Inc.
NPI 1629381868 · Respite Care Camp · Grand Rapids, MI
Indian Trails Camp, Inc. is a Respite Care Camp organization in Grand Rapids, MI (NPI 1629381868).
Provider details
- NPI number
- 1629381868
- Entity type
- Organization
- Primary specialty
- Respite Care CampRespite Care Facility
- Organization subpart
- No
- Authorized official
- Tim Hileman, Executive Director(616) 677-5251
- License
- CR700200614 (MI)
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
O-1859 Lake Michigan Dr Nw
Grand Rapids, MI 49534-9578
Phone: (616) 677-5251
Street-level locationGet directions
Mailing address
O-1859 Lake Michigan Dr Nw
Grand Rapids, MI 49534-9578
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2010-07-16
Frequently asked questions
- What is Indian Trails Camp, Inc.'s NPI number?
- Indian Trails Camp, Inc.'s National Provider Identifier (NPI) is 1629381868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian Trails Camp, Inc.?
- Indian Trails Camp, Inc. is classified in the NPPES registry as Respite Care Camp (Respite Care Facility).
- Where is Indian Trails Camp, Inc. located?
- Indian Trails Camp, Inc.'s practice location on file with NPPES is O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578.
- What is Indian Trails Camp, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Indian Trails Camp, Inc. is (616) 677-5251.
- Who is the authorized official for Indian Trails Camp, Inc.?
- The authorized official listed on Indian Trails Camp, Inc.'s NPPES record is Tim Hileman, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian Trails Camp, Inc.'s NPI active?
- Yes — Indian Trails Camp, Inc.'s NPI (1629381868) is active in the NPPES registry as of the last update on 2010-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.