CRYSTAL RUN VILLAGE NPI 1619123999

NPI Information

  • NPI: 1619123999
  • Provider Name: CRYSTAL RUN VILLAGE
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 601 STONY FORD RD
    MIDDLETOWN, NY
    ZIP 10941
  • Phone: (845) 692-4444

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NPI Details

CRYSTAL RUN VILLAGE is an assisted living and mental illness assisted living facility in Middletown, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CRYSTAL RUN VILLAGE NPI is 1619123999. The provider is registered as an organization entity type.

The provider's business location address is:

601 STONY FORD RD
MIDDLETOWN, NY
ZIP 10941-951
Phone: (845) 692-4444
Fax: (845) 695-1101

The provider's authorized official is William Sammis .
The authorized official title is Deputy Ed Of Admin Services and has the following contact phone number (845) 695-2559.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/26/2008.

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 Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

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This page was last updated on: 11/21/2025

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