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NPI 1720117666 · Intellectual Disabilities Intermediate Care Facility · Blauvelt, NY
Provider details
- NPI number
- 1720117666
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Judy Kydon, Chief Executive Officer(845) 359-3400
- License
- 07159459 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
500 Western Hwy
Blauvelt, NY 10913-2000
Phone: (845) 359-3400
Fax: (845) 359-4253
Street-level locationGet directions
Mailing address
500 Western Hwy
Blauvelt, NY 10913-2000
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2016-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.