NPIMap

Organization Active NPI

Harborview Decatur, LLC

  • Skilled Nursing Facility
  • Decatur, GA
National Provider Identifier
1003550807
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARBORVIEW DECATUR, LLC
Practice address
2787 N Decatur Rd
Decatur, GA 30033-5919
Phone
(404) 292-0626
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Chaim S Leibowitz
Title
Executive Vice President
Phone
(917) 804-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2787 N Decatur Rd
Decatur, GA 30033-5919

Mailing address

2787 N Decatur Rd
Decatur, GA 30033-5919
Phone (404) 292-0626

Other names 1

  • Harborview Decatur Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610002566 GA Part A Provider - Skilled Nursing Facility 1850779372 Practice locations: Decatur, GA

Skilled nursing facility certification: CCN 115012

Legal name
HARBORVIEW DECATUR, LLC
Doing business as
HARBORVIEW DECATUR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1976
Last certification
May 7, 2025
Beds
73
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Harborview Health Systems
Most recent change of ownership
Apr 1, 2022
Organization structure
LLCProprietary
Incorporated
Dec 30, 2021 in DE
Enrollment address
2787 N Decatur Rd
Decatur, GA 30033-5919
Nursing home name
HARBORVIEW DECATUR
Affiliated entity
HARBORVIEW HEALTH SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harborview DecaturCCN 115012
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7368.4 residents per day on average
Chain
Harborview Health Systems22 facilities in the chain
Penalties (3 years)
2Fines totaling $6,292

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2128970Harborview Decatur2787 North Decatur Road, Decatur, GA 30033Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
David Englander Individual Corporate OfficerChief Executive Officer Apr 1, 2022
Lizzie Thomas Individual W-2 Managing EmployeeFacility Administrator Apr 1, 2022
CL 2022 Irrv TR Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Apr 1, 2022 50%
De 2021 Irrv TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Apr 1, 2022 50%
Chaim Sholom Leibowitz Individual Corporate OfficerExecutive Vice President Apr 1, 2022
Ga NC 14, LLC Organization, Cedarhurst, NY LLC 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1003550807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335919",
            "telephone_number": "404-292-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335919",
            "telephone_number": "404-292-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW DECATUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "917-804-1661"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Decatur",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harborview Decatur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.