Organization Active NPI

Tiswell Leasing Co., LLC

  • Skilled Nursing Facility
  • Alexandria, VA
National Provider Identifier
1023526472
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TISWELL LEASING CO., LLC
Doing business as
Mount Vernon Healthcare Center
Practice address
8111 Tis Well Dr
Alexandria, VA 22306-3211
Phone
(703) 360-4000
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Stoltz
Title
Secretary / Treasurer
Phone
(513) 530-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8111 Tis Well Dr
Alexandria, VA 22306-3211

Mailing address

10123 Alliance Rd
Blue Ash, OH 45242-4887
Phone (513) 530-1808

Other names 1

  • Mount Vernon Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/CDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430002307 VA Part A Provider - Skilled Nursing Facility 3173887064 Practice locations: Alexandria, VA

Skilled nursing facility certification: CCN 495211

Legal name
TISWELL LEASING CO LLC
Doing business as
MOUNT VERNON HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 2, 1990
Last certification
Sep 29, 2022
Beds
130
Ownership / control type
Corporation
Multi-facility organization
CommuniCare Family of Companies
Organization structure
LLCProprietary
Incorporated
Jan 9, 2018 in OH
Enrollment address
8111 Tis Well Dr
Alexandria, VA 22306-3211
Nursing home name
MOUNT VERNON HEALTHCARE CENTER
Affiliated entity
COMMUNICARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mount Vernon Healthcare CenterCCN 495211 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 2, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130126.0 residents per day on average
Chain
Communicare Health110 facilities in the chain

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
49D2148075Tiswell Leasing Co, LLC8111 Tis Well Drive, Alexandria, VA 22306Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald S Wilheim 2012 Spousal Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Mar 1, 2018 15.27%
I. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Mar 1, 2018 31.16%
Ronald Wilheim Individual Corporate OfficerPresident Mar 1, 2018
Dominic a Romeo Individual Corporate OfficerCfo Apr 1, 2023
Operational/Managerial Control Apr 1, 2023
C.R. Stoltz Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Mar 1, 2018 6.52%
Wilheim Family Investment Company, Inc. Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 31.16%
RRW, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 93.48%
HC Real Estate Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 93.48%
Organization, Blue Ash, OH LLC Adp of the SNF Jun 13, 2025
Donna Groves Individual Corporate OfficerVice President of Revenue Cycle Apr 14, 2023
Operational/Managerial Control Apr 14, 2023
Joni Mauritz Individual Operational/Managerial Control Aug 21, 2023
Adp of the SNF Aug 21, 2023
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 31.16%
C R Stoltz II LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 6.52%
Tiswell MGT Co., LLC Organization, Alexandria, VA LLC, Management services company Operational/Managerial Control Mar 1, 2018
Adp of the SNF May 8, 2025
Ahmed Mahmoud Elebiary Individual Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2023
S.L. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Mar 1, 2018 31.16%
Omg LS Leasing Co., LLC Organization, Blue Ash, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2018 100%
Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT) Adp of the SNF Mar 1, 2018
R.S. Wilheim Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Mar 1, 2018 15.89%
Omg Re Holdings LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 100%
Charles Stoltz Individual Corporate OfficerSecretary / Treasurer Mar 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1023526472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 ALLIANCE RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424887",
            "telephone_number": "513-530-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 TIS WELL DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063211",
            "telephone_number": "703-360-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISWELL LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "513-530-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/CDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mount Vernon Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Vernon Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.