SAMARITAN SENIOR VILLAGE, INC.
NPI 1194060145
Skilled Nursing Facility in Watertown, NY

Active since December 03, 2012
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: November 01, 2026.

About Samaritan Senior Village, Inc. NPPES

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

SAMARITAN SENIOR VILLAGE, INC. (NPI 1194060145), doing business as Samaritan Summit Village, is a healthcare organization registered as a skilled nursing facility in Watertown, New York and active in the NPI registry since December 2012. The organization lists Chris Hochgraf, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1194060145
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSAMARITAN SENIOR VILLAGE, INC.
Location Address22691 CAMPUS DRIVEWatertown, NY 13601-0050
Mailing Address22691 Campus DrWatertown, NY 13601-3025 · (315) 782-6800
Organization SubpartNo
Authorized OfficialChris HochgrafDirector Of Revenue Cycle · (315) 779-5278
Enumeration DateDecember 3, 2012
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1194060145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
22691 CAMPUS DRIVE, Watertown, NY 13601

Other Names 1

Doing Business AsSamaritan Summit Village

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samaritan Senior Village, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samaritan Senior Village, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1457844862
26908 INDEPENDENCE WAY
Evans Mills, NY 13637
(315) 629-4525
✔ PECOS✔ Accepts Medicare8.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, Inc.'s NPI number?

The NPI number for Samaritan Senior Village, Inc. is 1194060145. It was assigned to this organization in the NPPES registry on December 3, 2012. The provider is doing business as Samaritan Summit Village.

Where is Samaritan Senior Village, Inc. located?

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

What is Samaritan Senior Village, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Samaritan Senior Village, Inc. enrolled in Medicare?

Yes. Samaritan Senior Village, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samaritan Senior Village, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Samaritan Senior Village, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samaritan Senior Village, Inc. was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.