Active NPI
Roselane Health Center by Harborview, LLC
- Skilled Nursing Facility
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROSELANE HEALTH CENTER BY HARBORVIEW, LLC
- Practice address
- 613 Roselane St NW
Marietta, GA 30060-6940 - Phone
- (770) 792-9800
- NPI assigned
- Apr 27, 2022
- 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
- Chaim S Leibowitz
- Title
- Executive Vice President
- Phone
- (917) 804-1661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
613 Roselane St NW
Marietta, GA 30060-6940
Mailing address
613 Roselane St NW
Marietta, GA 30060-6940
Phone (770) 792-9800
Other names 1
- Roselane Health Center by Harborview
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220610002490 | GA | Part A Provider - Skilled Nursing Facility | 7416335930 | Practice locations: Marietta, GA |
Skilled nursing facility certification: CCN 115660
- Legal name
- ROSELANE HEALTH CENTER BY HARBORVIEW, LLC
- Doing business as
- ROSELANE HEALTH CENTER BY HARBORVIEW
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1999
- Last certification
- Dec 5, 2024
- Beds
- 137
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Harborview Health Systems
- Organization structure
- LLC
- Incorporated
- Dec 30, 2021 in DE
- Enrollment address
- 613 Roselane St NW
Marietta, GA 30060-6940 - Nursing home name
- ROSELANE HEALTH CENTER BY HARBORVIEW
- Affiliated entity
- HARBORVIEW HEALTH SYSTEMS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Roselane Health Center by Harborview
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1999
- Medicare certification status
- Active
- Certified beds
- 137
- Chain
- Harborview Health Systems
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 11D2128963 | Roselane Health Center by Harborview | Certificate of waiver | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Juliet D'Alessandro | W-2 Managing Employee | Apr 1, 2022 | |
| David Englander | Corporate Officer | Apr 1, 2022 | |
| CL 2022 Irrv TR | 5% Or Greater Indirect Ownership Interest | Apr 1, 2022 | 50% |
| De 2021 Irrv TR | 5% Or Greater Indirect Ownership Interest | Apr 1, 2022 | 50% |
| Chaim Sholom Leibowitz | Corporate Officer | Apr 1, 2022 | |
| Ga NC 14, 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.
-
- Skilled Nursing Facility
- Augusta, GA
- NPI 1760132138
CL 2022 Irrv TR, De 2021 Irrv TR
-
- Skilled Nursing Facility
- Tucker, GA
- NPI 1386388189
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1912641713
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Decatur, GA
- NPI 1821732629
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Decatur, GA
- NPI 1003550807
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Rome, GA
- NPI 1649914441
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Thomasville, GA
- NPI 1376287177
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Tifton, GA
- NPI 1285378083
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Augusta, GA
- NPI 1093459893
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Tarboro, NC
- NPI 1831849025
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Lumberton, NC
- NPI 1730839929
CL 2022 Irrv TR, De 2021 Irrv TR, Ga NC 14, LLC
-
- Skilled Nursing Facility
- Kissimmee, FL
- NPI 1588410948
CL 2022 Irrv TR, De 2021 Irrv TR
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1982932745
-
- Hospitalist Physician
- Roswell, GA
- NPI 1073550844
Affiliated clinicians 2
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": "1651017600000",
"number": "1467196261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 ROSELANE ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606940",
"telephone_number": "770-792-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 ROSELANE ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606940",
"telephone_number": "770-792-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSELANE HEALTH CENTER BY HARBORVIEW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"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": "Roselane Health Center by Harborview",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.