OrganizationActive
Crystal Run Village Inc
NPI 1619149069 · Intellectual Disabilities Intermediate Care Facility · Middletown, NY
Provider details
- NPI number
- 1619149069
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Sammis, Deputy Ed of Admin Services(845) 695-2559
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
601 Stony Ford Rd
Middletown, NY 10941-3951
Phone: (845) 692-4444
Fax: (845) 692-1101
Street-level locationGet directions
Mailing address
601 Stony Ford Rd
Middletown, NY 10941-3951
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2008-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.