Harborview Jesup LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7618263682 Enrollment ID O20160831001958

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Angela P Denison	4385882091	Individual	W-2 Managing Employee	—
Harborview Health Systems Inc	9638464795	Organization	5% or Greater Direct Ownership Interest	100
Chaim Sholom Leibowitz	9537454699	Individual	5% or Greater Indirect Ownership Interest	50
David Englander	5092000158	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	50

Angela P DenisonPAC 4385882091
IndividualW-2 Managing Employee
Harborview Health Systems IncPAC 9638464795
Organization1005% or Greater Direct Ownership Interest
Chaim Sholom LeibowitzPAC 9537454699
Individual505% or Greater Indirect Ownership Interest
David EnglanderPAC 5092000158
Individual505% or Greater Indirect Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Harborview Health Systems Jesup Harborview Jesup LLC 86 residents		Other disclo…	3.91	Ovr★★★★☆Stf★★★☆☆Ins★★★★☆QM★★★☆☆	86

Harborview Health Systems Jesup
Harborview Jesup LLC
Other disclosed role86 res3.91 HPRD
Overall 4Staffing Staff 3

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2016	Harborview Health Systems Jesup	Harborview Jesup LLC	Beverly Health and Rehabilitiation Services, Inc	Buyer

07/01/2016
Harborview Health Systems Jesup (Buyer)
Beverly Health and Rehabilitiation Services, Inc → Harborview Jesup LLC

Related CMS associates

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