INDIAN TRAILS CAMP INC. NPI 1972847184

NPI Information

NPI: 1972847184
Provider Name: INDIAN TRAILS CAMP, INC.
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
O-1859 LAKE MICHIGAN DR. NW
GRAND RAPIDS, MI
ZIP 49534
Phone: (616) 677-5251
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INDIAN TRAILS CAMP, INC. is a respite care in Grand Rapids, MI. The provider is definition to come. INDIAN TRAILS CAMP, INC. NPI is 1972847184. The provider is registered as an organization entity type.

The provider's business location address is:

O-1859 LAKE MICHIGAN DR. NW
GRAND RAPIDS, MI
ZIP 49534
Phone: (616) 677-5251
Fax: (616) 677-2955

The provider's authorized official is Timothy Hileman .
The authorized official title is Executive Director and has the following contact phone number (616) 677-5251.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services			No
2	385H00000X	Respite Care	AC700200613	MICHIGAN	No
3	385H00000X	Respite Care	SR700200220	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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