Crystal Run Village Inc
NPI 1619149069ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Middletown, NY
Intermediate Care Facility, Intellectual Disabilities in Middletown, New York, registered in NPPES in March 2008. The authorized official on file is William Sammis, Deputy Ed Of Admin Services.
Overview
| NPI | 1619149069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2008 |
| Last updated in NPPES | Mar 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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