Harborview Waycross, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HARBORVIEW WAYCROSS, LLC

Practice address

221 E Carter Ave
Blackshear, GA 31516-1545

Phone

(912) 449-6631

Fax

(912) 449-6631

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

David Englander

Title

Chief Executive Officer

Phone

(516) 523-4822

Specialties & licenses 1

Addresses

Other names 1

• Harborview Pierce County Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115265

Legal name

HARBORVIEW WAYCROSS LLC

Doing business as

HARBORVIEW SATILLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1979

Last certification

Jan 9, 2025

Beds

174

Ownership / control type

Corporation

Multi-facility organization

Harborview Health Systems

Organization structure

LLCProprietary

Incorporated

Feb 17, 2017 in GA

Enrollment address

1600 Riverside Ave
Waycross, GA 31501-7028

Nursing home name

HARBORVIEW SATILLA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Harborview Waycross, LLC

  • Skilled Nursing Facility
  • Waycross, GA
  • NPI 1578099289

  O20170614002790

  Same enrollment

Listed as

Harborview SatillaCCN 115265

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

174161.7 residents per day on average

Penalties (3 years)

2Fines totaling $9,620

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

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.

Practitioners 3

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

• Joshua Wade McCarthy, MD

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1578827408
  NPD (past)
• William Alan Morton, M.D.

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1881614584
  NPD (past)
• Gordon Brent Waters, M.D.

  • Family Medicine Physician
  • Blackshear, GA
  • NPI 1730109414
  NPD (past)

Affiliated clinicians 5

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

• Nirmala D Amaram, M.D.

  • General Practice Physician
  • Waycross, GA
  • NPI 1548295405

  Nursing home

  Care Compare affiliation
• Lina Heath Harper, M.D.

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1467426023

  Nursing home

  Care Compare affiliation
• Joshua Wade McCarthy, MD

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1578827408

  Nursing home

  Care Compare affiliation
• William Alan Morton, M.D.

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1881614584

  Nursing home

  Care Compare affiliation
• Gordon Brent Waters, M.D.

  • Family Medicine Physician
  • Blackshear, GA
  • NPI 1730109414

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1124554837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CARTER AVE",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161545",
            "telephone_number": "912-449-6631",
            "fax_number": "912-449-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E CARTER AVE",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161545",
            "telephone_number": "912-449-6631",
            "fax_number": "912-449-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW WAYCROSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "ENGLANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-523-4822"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Pierce County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Blackshear, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.