Samaritan Senior Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAMARITAN SENIOR VILLAGE, INC.

Doing business as

Samaritan Summit Village

Practice address

22691 Campus Drive
Watertown, NY 13601-0050

Phone

(315) 779-6602

NPI assigned

Dec 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Hochgraf

Title

Director of Revenue Cycle

Phone

(315) 779-5278

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Summit Village Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 335865

Legal name

SAMARITAN SENIOR VILLAGE INC

Doing business as

SAMARITAN SUMMIT VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 5, 2013

Last certification

Aug 16, 2024

Beds

168

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 1, 2011 in NY

Enrollment address

22691 Campus Dr
Watertown, NY 13601-3025

Nursing home name

SAMARITAN SENIOR VILLAGE, INC

Listed as

Samaritan Senior Village, IncCCN 335865 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 5, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

168161.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Collins F Kellogg Jr., MD

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1225031255

  Corporate Director

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Robert Britton, DO

  • Internal Medicine Physician
  • Evans Mills, NY
  • NPI 1457844862
  Medicare reassignment NPD
• Shauna Marie Campanaro, PA-C

  • Physician Assistant
  • Watertown, NY
  • NPI 1417347568
  Medicare reassignment
• Laura Ellen Boggs, DO

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1013105949
  NPD (past)
• Christopher Allan Kellogg, DO

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1598260119
  NPD (past)
• Collins F Kellogg Jr., MD

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1225031255
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Laura Ellen Boggs, DO

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1013105949

  Nursing home

  Care Compare affiliation
• Christopher Allan Kellogg, DO

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1598260119

  Nursing home

  Care Compare affiliation
• Collins F Kellogg Jr., MD

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1225031255

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1194060145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22691 CAMPUS DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013025",
            "telephone_number": "315-782-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22691 CAMPUS DRIVE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010050",
            "telephone_number": "315-779-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN SENIOR VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "HOCHGRAF",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "315-779-5278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Summit Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Medical Center
• Samaritan Medical Center
• Samaritan Medical Center
• Samaritan Medical Practice, PC
• Samaritan Senior Village
• Christina Marie Sampson
• Maya Samuel, AUD
• Irvin Rafael Sanchez, MD
• Diana Sanderson
• Rebecca M Sands, LMSW

• Skilled Nursing Facility in Watertown, NY
• Providers in Watertown, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.