Provider Demographics
NPI:1336197839
Name:SAMARITAN KEEP NURSING HOME INC
Entity type:Organization
Organization Name:SAMARITAN KEEP NURSING HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCHGRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-779-5278
Mailing Address - Street 1:133 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4300
Mailing Address - Country:US
Mailing Address - Phone:315-785-4421
Mailing Address - Fax:315-785-5760
Practice Address - Street 1:133 PRATT ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4300
Practice Address - Country:US
Practice Address - Phone:315-785-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2201000N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00309251Medicaid
81092AMedicare ID - Type UnspecifiedPART B
NY00309251Medicaid