Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indian Trails Camp, Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1972847184

Indian Trails Camp, Inc is a Developmentally Disabled Services Day Training Agency in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

O-1859 Lake Michigan Dr NW
Grand Rapids, MI 49534
Phone: (616) 677-5251
Fax: (616) 677-2955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X · Licence SR700200220 (MI)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Respite Care Taxonomy 385H00000X · Licence AC700200613 (MI)

Record details

NPI number1972847184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Hileman — Executive Director · (616) 677-5251
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing addressPo Box 97, Grandville, MI 49468

Other providers in Grand Rapids