NPIMap

Organization Active NPI

Harborview Lumberton, LLC

Doing business as Harborview Lumberton

  • Skilled Nursing Facility
  • Lumberton, NC
National Provider Identifier
1730839929
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARBORVIEW LUMBERTON, LLC
Doing business as
Harborview Lumberton
Practice address
1555 Willis Ave
Lumberton, NC 28358-4283
Phone
(910) 739-6048
NPI assigned
Mar 28, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 NU Primary

Addresses

Primary practice location

1555 Willis Ave
Lumberton, NC 28358-4283

Mailing address

1555 Willis Ave
Lumberton, NC 28358-4283
Phone (910) 739-6048

Other names 1

  • Harborview Lumberton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505000846 NC Part A Provider - Skilled Nursing Facility 3870980147 Practice locations: Lumberton, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730839929. Details of each certification follow.

Skilled nursing facility certification: CCN 345234

Legal name
HARBORVIEW LUMBERTON, LLC
Doing business as
HARBORVIEW LUMBERTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 22, 1983
Last certification
Apr 10, 2025
Beds
122
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Harborview Health Systems
Organization structure
LLCProprietary
Incorporated
Dec 30, 2021 in DE
Enrollment address
1555 Willis Ave
Lumberton, NC 28358-4283
Nursing home name
HARBORVIEW LUMBERTON
Affiliated entity
HARBORVIEW HEALTH SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harborview LumbertonCCN 345234 · All quality measures
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
Feb 22, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122109.9 residents per day on average
Chain
Harborview Health Systems22 facilities in the chain

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
34D2123336Harborview Lumberton1555 Willis Avenue, Lumberton, NC 28358Certificate of waiverDec 18, 2026

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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1730839929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 WILLIS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584283",
            "telephone_number": "910-739-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 WILLIS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584283",
            "telephone_number": "910-739-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW LUMBERTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Lumberton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.