Azalea Health Center by Harborview, LLC
Organization Active NPI Skilled Nursing Facility · Augusta, GA
NPI 1760132138 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1760132138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AZALEA HEALTH CENTER BY HARBORVIEW, LLC
- Practice address
- 1600 Anthony Rd
Augusta, GA 30904-4824 - Phone
- (706) 738-3301
- NPI assigned
- Mar 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Chaim S. Leibowitz
- Title
- Executive Vice President
- Phone
- (917) 804-1661
Facilities with the same owner 17
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Azalea Health Center by Harborview
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1969
- Medicare certification status
- Active
- Certified beds
- 99 · 89.9 residents per day on average
- Chain
- Harborview Health Systems
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2128962 | Azalea Health Center by Harborview | Certificate of waiver | Apr 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115044
- Legal name
- AZALEA HEALTH CENTER BY HARBORVIEW, LLC
- Doing business as
- AZALEA HEALTH CENTER BY HARBORVIEW
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1969
- Last certification
- Mar 16, 2025
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Harborview Health System
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 30, 2021 in DE
- Enrollment address
- 1600 Anthony Rd
Augusta, GA 30904-4824 - Nursing home name
- AZALEA HEALTH CENTER BY HARBORVIEW
- Affiliated entity
- HARBORVIEW HEALTH SYSTEMS
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| David Englander |
Corporate Officer |
Apr 1, 2022 | |
| Jessica Love |
W-2 Managing Employee |
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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220610002063 | GA | Part a Provider - Skilled Nursing Facility | 3779961289 | Practice locations: Augusta, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1600 Anthony Rd
Augusta, GA 30904-4824
Mailing address
1600 Anthony Rd
Augusta, GA 30904-4824
Phone (706) 738-3301
Other providers in Augusta, GA
- Frances Steed Aycock
- Ayodele A Ayedun
- Nicole Lynn Ayer
- Russ R Ayers
- Ihab Azab
- Azalee Homecare LLC
- Mohammad Umair Azam
- Irfan Azeem
- Sameera Azeem
- Fabian Azofeifa
All providers in Augusta, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.