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

Active since December 03, 2012CLIA 33D2054606 · Waiver
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: September 20, 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 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

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

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.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
22691 CAMPUS DRIVE
WATERTOWN, NY 13601

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.

Does Samaritan Senior Village, Inc. 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.

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 11 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.