Active NPI
Tiswell Leasing Co., LLC
- Skilled Nursing Facility
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 2, 1990
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Communicare Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2148075 | Tiswell Leasing Co, LLC | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald S Wilheim 2012 Spousal Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 15.27% |
| I. Rosedale Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 31.16% |
| Ronald Wilheim | Corporate Officer | Mar 1, 2018 | |
| Dominic a Romeo | Corporate Officer | Apr 1, 2023 | |
| Operational/Managerial Control | Apr 1, 2023 | ||
| C.R. Stoltz Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 6.52% |
| Wilheim Family Investment Company, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 31.16% |
| RRW, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 93.48% |
| HC Real Estate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 93.48% |
| Adp of the SNF | Jun 13, 2025 | ||
| Donna Groves | Corporate Officer | Apr 14, 2023 | |
| Operational/Managerial Control | Apr 14, 2023 | ||
| Joni Mauritz | Operational/Managerial Control | Aug 21, 2023 | |
| Adp of the SNF | Aug 21, 2023 | ||
| Rosedale Family Investment Company, Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 31.16% |
| C R Stoltz II LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 6.52% |
| Tiswell MGT Co., LLC | Operational/Managerial Control | Mar 1, 2018 | |
| Adp of the SNF | May 8, 2025 | ||
| Ahmed Mahmoud Elebiary | Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Apr 1, 2023 | ||
| S.L. Rosedale Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 31.16% |
| Omg LS Leasing Co., LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2018 | 100% |
| Adp of the SNF | Mar 1, 2018 | ||
| R.S. Wilheim Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 15.89% |
| Omg Re Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 100% |
| Charles Stoltz | Corporate Officer | 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.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1659719227
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 111
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1386185809
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Annandale, VA
- NPI 1902347420
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Petersburg, VA
- NPI 1972044485
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Petersburg, VA
- NPI 1245771765
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Clarksburg, WV
- NPI 1689313967
C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,
-
- Skilled Nursing Facility
- Canton, OH
- NPI 1538667829
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Masury, OH
- NPI 1053810358
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Salisbury, MD
- NPI 1326336132
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Berkeley Springs, WV
- NPI 1780323055
C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,
-
- Skilled Nursing Facility
- Massillon, OH
- NPI 1326029836
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
-
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1063699288
C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,
-
- Skilled Nursing Facility
- Salem, OH
- NPI 1629577325
C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable Trust, Wilheim Family Investment Company
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.