NPIMap

Organization Active NPI

Glenwood Health Center by Harborview, LLC

Doing business as Glenwood Health Center by Harborview

  • Skilled Nursing Facility
  • Decatur, GA
National Provider Identifier
1821732629
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLENWOOD HEALTH CENTER BY HARBORVIEW, LLC
Doing business as
Glenwood Health Center by Harborview
Practice address
4115 Glenwood Rd
Decatur, GA 30032-4727
Phone
(404) 284-6414
NPI assigned
Apr 27, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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

4115 Glenwood Rd
Decatur, GA 30032-4727

Mailing address

4115 Glenwood Rd
Decatur, GA 30032-4727
Phone (404) 284-6414

Other names 1

  • Glenwood Health Center by Harborview Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610002216 GA Part A Provider - Skilled Nursing Facility 4385022896 Practice locations: Decatur, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821732629. Details of each certification follow.

Skilled nursing facility certification: CCN 115025

Legal name
GLENWOOD HEALTH CENTER BY HARBORVIEW, LLC
Doing business as
GLENWOOD HEALTH CENTER BY HARBORVIEW
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 17, 1967
Last certification
Oct 11, 2024
Beds
225
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Harborview Health Systems
Organization structure
LLCProprietary
Incorporated
Dec 30, 2021 in DE
Enrollment address
4115 Glenwood Rd
Decatur, GA 30032-4727
Nursing home name
GLENWOOD HEALTH CENTER BY HARBORVIEW
Affiliated entity
HARBORVIEW HEALTH SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glenwood Health Center by HarborviewCCN 115025 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 17, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
225209.4 residents per day on average
Chain
Harborview Health Systems22 facilities in the chain
Penalties (3 years)
4Fines totaling $13,043

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
11D2128965Glenwood Health Center by Harborview4115 Glenwood Road, Decatur, GA 30032Certificate of waiverApr 10, 2027

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
David Englander Individual Corporate OfficerChief Executive Officer Apr 1, 2022
CL 2022 Irrv TR Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Apr 1, 2022 50%
De 2021 Irrv TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Apr 1, 2022 50%
Chaim Sholom Leibowitz Individual Corporate OfficerExecutive Vice President Apr 1, 2022
Ga NC 14, LLC Organization, Cedarhurst, NY LLC 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Christopher Caballero Individual W-2 Managing EmployeeFacility Administrator Apr 1, 2022

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 5

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1821732629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 GLENWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324727",
            "telephone_number": "404-284-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 GLENWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324727",
            "telephone_number": "404-284-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Health Center by Harborview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.