Active NPI
Harborview Dover, LLC
- Skilled Nursing Facility
- Georgetown, KY
National Provider Identifier
1053953406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HARBORVIEW DOVER, LLC
- Practice address
- 112 Dover Dr
Georgetown, KY 40324-9741 - Phone
- (502) 863-9529
- Fax
- (502) 863-2862
- NPI assigned
- Oct 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Englander
- Title
- Member
- Phone
- (516) 523-4822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
112 Dover Dr
Georgetown, KY 40324-9741
Mailing address
112 Dover Dr
Georgetown, KY 40324-9741
Phone (502) 863-9529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100480 | Other | KY | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | harborviewcorp.com |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0962596 | Harborview Dover, LLC | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571184000000",
"number": "1053953406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DOVER DR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249741",
"telephone_number": "502-863-9529",
"fax_number": "502-863-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DOVER DR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249741",
"telephone_number": "502-863-9529",
"fax_number": "502-863-2862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBORVIEW DOVER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A",
"authorized_official_last_name": "ENGLANDER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "516-523-4822"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "100480",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "harborviewcorp.com",
"affiliation": "N",
"address_1": "112 Dover Dr",
"city": "Georgetown",
"state": "KY",
"country_code": "US",
"postal_code": "403249741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.