Crystal Run Village in Middletown - Assisted Living, Mental Illness
Crystal Run Village - NPI 1619123999
Crystal Run Village is a Assisted Living, Mental Illness in Middletown, New York. Crystal Run Village practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Crystal Run Village is 1619123999. The last update date is 2008-08-26.
Crystal Run Village's current location address is 601 Stony Ford Rd, Middletown, New York. You can contact this provider via phone number 8456924444 and fax number 8456951101. The mailing address for Crystal Run Village is 601 Stony Ford Rd, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Run Village |
|---|---|
| Address | 601 Stony Ford Rd, Middletown, New York |
| Phone Number | 8456924444 |
| Fax Number | 8456951101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPUTY ED |
|---|---|
| Authorized Official Name | Sammis William |
| Telephone Number | 8456952559 |
NPI Number Detail
| NPI Number | 1619123999 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 601 Stony Ford Rd |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 109413951 |
| Phone Number | 8456924444 |
| Fax Number | 8456951101 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: 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 w |
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Post Comment/ Review Below
What is the unique identifier code issued to Crystal Run Village by the Centers for Medicare & Medicaid Services (CMS)?
The Crystal Run Village has been assigned the NPI (National Provider Identifier) 1619123999. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Crystal Run Village's facilities are geographically located?
The facilities of Crystal Run Village are physically situated at the following location: 601 Stony Ford Rd, Middletown, NY, 109413951.
What is Crystal Run Village's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crystal Run Village is Assisted Living, Mental Illness, and the taxonomy code that categorizes this field of expertise is 3104A0625X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619123999 to Crystal Run Village?
The Centers for Medicare & Medicaid Services originally issued the 1619123999 to Crystal Run Village on 2008-08-18.
When was the information pertaining to Crystal Run Village most recently updated or revised?
The details related to Crystal Run Village, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-26.