NPIMap

Organization Active NPI

Edgecombe Health Center by Harborview, LLC

  • Skilled Nursing Facility
  • Tarboro, NC
National Provider Identifier
1831849025
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EDGECOMBE HEALTH CENTER BY HARBORVIEW, LLC
Practice address
1000 Western Blvd
Tarboro, NC 27886-4017
Phone
(252) 823-0401
NPI assigned
Mar 28, 2022
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 Primary

Addresses

Primary practice location

1000 Western Blvd
Tarboro, NC 27886-4017

Mailing address

1000 Western Blvd
Tarboro, NC 27886-4017
Phone (252) 823-0401

Other names 1

  • Edgecombe Health Center by Harborview Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505001409 NC Part A Provider - Skilled Nursing Facility 0446647721 Practice locations: Tarboro, NC

Skilled nursing facility certification: CCN 345195

Legal name
EDGECOMBE HEALTH CENTER BY HARBORVIEW, LLC
Doing business as
EDGECOMBE HEALTH CENTER BY HARBORVIEW
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1979
Last certification
Mar 13, 2025
Beds
159
Ownership / control type
Individual
Multi-facility organization
Harborwiew Health Systems
Most recent change of ownership
Mar 1, 2022
Organization structure
LLCProprietary
Incorporated
Dec 30, 2021 in DE
Enrollment address
1000 Western Blvd
Tarboro, NC 27886-4017
Nursing home name
EDGECOMBE HEALTH CENTER BY HARBORVIEW
Affiliated entity
HARBORVIEW HEALTH SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edgecombe Health Center by HarborviewCCN 345195
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159138.0 residents per day on average
Chain
Harborview Health Systems22 facilities in the chain
Penalties (3 years)
2Fines totaling $27,378

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
34D2123335Edgecombe Health Center by Harborview1000 Western Boulevard, Tarboro, NC 27886Certificate 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
Jamie Bell 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 2

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

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": "1831849025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864017",
            "telephone_number": "252-823-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864017",
            "telephone_number": "252-823-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECOMBE HEALTH CENTER BY HARBORVIEW, 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgecombe Health Center by Harborview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.