Harborview Jesup, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-151-2084 Issued in GA

Legal business name

HARBORVIEW JESUP, LLC

Practice address

1090 W Orange St
Jesup, GA 31545-0508

Phone

(912) 427-6858

NPI assigned

Jun 27, 2016

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

(912) 427-6858

Specialties & licenses 1

Addresses

Other names 1

• Harborview Health Systems Jesup Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115414

Legal name

HARBORVIEW JESUP LLC

Doing business as

HARBORVIEW HEALTH SYSTEMS JESUP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1989

Last certification

Apr 10, 2025

Beds

90

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Harborview Health System

Organization structure

LLCProprietary

Incorporated

May 11, 2016 in GA

Enrollment address

1090 W Orange St
Jesup, GA 31545-0508

Nursing home name

HARBORVIEW HEALTH SYSTEMS JESUP

Listed as

Harborview Health Systems JesupCCN 115414

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9086.3 residents per day on average

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 4

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

Facilities with the same owner 1

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

• Harborview Thomaston, LLC

  • Skilled Nursing Facility
  • Thomaston, GA
  • NPI 1821449380

  Harborview Health Systems Inc

  CMS ownership

Practitioners 1

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

• Robert Allen Pumpelly IV, MD

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1235121658
  NPD (past)

Affiliated clinicians 1

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

• Robert Allen Pumpelly IV, MD

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1235121658

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1720439292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W ORANGE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450508",
            "telephone_number": "912-427-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W ORANGE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450508",
            "telephone_number": "912-427-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW JESUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "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": "912-427-6858"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-151-2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Health Systems Jesup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Thomas Grisez, MD
• Cephas S Gumbs, PT
• Tonya Hamilton
• Eric Bradley Hammett, CRNA
• Jackson Alexander Harbin, PA-C
• Carl Chris Harris Sr., RPH
• Jeffrey Lee Harris, MD
• Jishaun Emmanuel Harris, PHARM D., RPH
• Danna Metts Harvey, PHARMD
• Maggie Poppell Hayes, FNP-C

• All providers in Jesup, 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.