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SAMARITAN SENIOR VILLAGE
NPI 1003151937
Assisted Living Facility in Watertown, NY

Active since December 04, 2012CLIA 33D2054606 · Waiver
1/5
Overall Rating
22691 CAMPUS DRIVE, WATERTOWN, NY 13601(315) 779-6602 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samaritan Senior Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARITAN SENIOR VILLAGE (NPI 1003151937), doing business as Samaritan Summit Village, is a healthcare organization registered as an assisted living facility in Watertown, New York and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Chris Hochgraf, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1003151937
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSAMARITAN SENIOR VILLAGE
Location Address22691 CAMPUS DRIVEWatertown, NY 13601
Mailing Address22691 Campus DrWatertown, NY 13601-3025 · (315) 782-6800
Phone(315) 779-6602
Organization SubpartNo
Authorized OfficialChris HochgrafDirector Of Revenue Cycle · (315) 779-5278
Enumeration DateDecember 4, 2012
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1003151937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

22691 CAMPUS DRIVE, Watertown, NY 13601
Open in Google Maps ↗

Other Names 1

Doing Business AsSamaritan Summit Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2054606

Samaritan Summit Village · Watertown, NY
Active · expires Mar 26, 2027
CLIA Number33D2054606
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 25, 2013
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Shikhar G. Vyas
Laboratory Phone(315) 782-6800
Laboratory LocationSamaritan Summit Village22691 Campus Drive, Watertown, NY 13601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Samaritan Senior Village, Inc (CMS certification number 335865), from CMS Care Compare.

Samaritan Senior Village, Inc

Nursing home · Watertown, NY
1/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335865
Certified Beds168 beds155 residents per day on average
Medicare & Medicaid Participant SinceApril 5, 2013
Resident & Family CouncilResident council
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
52
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.41 · LPN 1.08 · RN 0.39
3.89 hrs per resident per day
Weekend Nurse Staffing
3.02 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
65.4%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
9
Fines
1 totaling $7,900.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMARITAN SENIOR VILLAGE, INC.
Skilled Nursing Facility
22691 CAMPUS DRIVE
WATERTOWN, NY 13601
Jefferson County (315) 779-6602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samaritan Senior Village's NPI number?

The NPI number for Samaritan Senior Village is 1003151937. It was assigned to this organization in the NPPES registry on December 4, 2012. The provider is doing business as Samaritan Summit Village.

Where is Samaritan Senior Village located?

Samaritan Senior Village is located at 22691 Campus Drive, Watertown, NY 13601. The listed phone number is (315) 779-6602.

What is Samaritan Senior Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Samaritan Senior Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2054606) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Samaritan Senior Village a Medicare-certified nursing home?

Yes. Samaritan Senior Village, Inc is a Medicare-certified nursing home with 168 certified beds.

What quality rating does Samaritan Senior Village have?

CMS rates Samaritan Senior Village, Inc 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Samaritan Senior Village was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.