NPIMap

Organization Active NPI

Samaritan Home Health Inc

  • Home Health Agency
  • Watertown, NY
National Provider Identifier
1487057576
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAMARITAN HOME HEALTH INC
Practice address
104 Paddock St
Watertown, NY 13601-0000
Phone
(315) 782-0415
Fax
(315) 786-0417
NPI assigned
Oct 2, 2014
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SAMARITAN HOME HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Mr. Thomas Carman
Title
President
Phone
(315) 785-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

104 Paddock St
Watertown, NY 13601-0000

Mailing address

104 Paddock St
Watertown, NY 13601-0000
Phone (315) 782-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007002165 NY Part A Provider - Home Health Agency 0244548477 Practice locations: Watertown, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487057576. Details of each certification follow.

Home health agency certification: CCN 337254

Legal name
SAMARITAN HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 15, 1988
Last certification
Mar 25, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 7, 2012 in NY
Enrollment address
104 Paddock St
Watertown, NY 13601-3962

Care Compare: Home health agency

Medicare Care Compare
Listed as
Samaritan Home Health, IncCCN 337254 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Apr 15, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Samaritan Home Health Inc

Locations

104 Paddock St
Watertown, NY 13601
Phone (315) 786-7501

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Chris Hochgraf Individual W-2 Managing EmployeeDirector of Revenue Cycle Jan 1, 2022
Operational/Managerial ControlDirector of Revenue Cycle Jan 1, 2022
Maxine a Briggs Individual Corporate DirectorBoard Member, Treasurer Jan 1, 2022
W-2 Managing EmployeeChief Financial Officer Jan 1, 2022
Operational/Managerial ControlDirector of Revenue Cycle Jan 1, 2022
Thomas H Carman Individual Corporate DirectorPresident/Ceo Aug 7, 2012
W-2 Managing EmployeePresident/Ceo Aug 7, 2012
Operational/Managerial ControlPresident/Ceo Aug 7, 2012
Melanie Parker-Guertsen Individual Corporate DirectorBoard Member Jan 1, 2022

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2016 Change of OwnershipThis provider was the buyer Genesis Healthcare of New YorkCCN 337254, NY, NPI 1710965124

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1487057576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PADDOCK ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010000",
            "telephone_number": "315-782-0415",
            "fax_number": "315-786-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PADDOCK ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010000",
            "telephone_number": "315-782-0415",
            "fax_number": "315-786-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITAN HOME HEALTH INC",
        "enumeration_date": "2014-10-02",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-785-4121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.