Harborview Tifton, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 4082092507 Enrollment ID O20220610002389

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 3 organizations · 3 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mary Faulk5698878403IndividualW-2 Managing Employee
Ga Nc 14, LLC9537556873Organization5% or Greater Direct Ownership Interest100
CL 2022 Irrv Tr7719374057Organization5% or Greater Indirect Ownership Interest50
De 2021 Irrv Tr8628465960Organization5% or Greater Indirect Ownership Interest50
Chaim Sholom Leibowitz9537454699IndividualCorporate Officer
David Englander5092000158IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Harborview Tifton
Harborview Tifton, LLC
83 residents
Other disclo…
3.54Ovr☆☆☆☆Stf★★☆☆☆Ins☆☆☆☆QM☆☆☆☆83
  • Harborview Tifton, LLC
    Other disclosed role83 res3.54 HPRD
    Overall 1Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
04/01/2022Harborview TiftonHarborview Tifton, LLCTifton Operating Company LLCBuyer
  1. 04/01/2022
    Tifton Operating Company LLCHarborview Tifton, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Harborview Tifton, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.