Organization Active NPI

Northwest SNF LLC

Doing business as Northwest Healthcare Center

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1053609800
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHWEST SNF LLC
Doing business as
Northwest Healthcare Center
Practice address
4601 Pall Mall Rd
Baltimore, MD 21215
Phone
(410) 664-5551
NPI assigned
Jul 14, 2011
Last updated
May 1, 2025By the provider in NPPES
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 R Stoltz
Title
Secretary / Treasurer
Phone
(513) 530-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4601 Pall Mall Rd
Baltimore, MD 21215

Mailing address

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

Other names 1

  • Northwest Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000025 MD Part A Provider - Skilled Nursing Facility 6305011719 Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053609800. Details of each certification follow.

Skilled nursing facility certification: CCN 215346

Legal name
NORTHWEST SNF LLC
Doing business as
NORTHWEST HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 14, 2004
Last certification
Aug 26, 2024
Beds
91
Ownership / control type
Corporation
Multi-facility organization
Comminucare
Organization structure
LLCProprietary
Incorporated
May 6, 2011 in MD
Enrollment address
4601 Pall Mall Road
Baltimore, MD 21215-6414
Nursing home name
NORTHWEST HEALTHCARE CENTER
Affiliated entity
COMMUNICARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northwest Healthcare CenterCCN 215346 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 14, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9183.2 residents per day on average
Chain
Communicare Health110 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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 Jan 1, 2016 15.27%
Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT) Adp of the SNF Jan 1, 2016
S.L.Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
I. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
Ronald Wilheim Individual Corporate OfficerPresident Jan 1, 2016
C.R. Stoltz Family Investment Company Inc Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.52%
Dominic a Romeo Individual Corporate DirectorCfo Apr 1, 2023
Operational/Managerial Control Apr 1, 2023
C.R. Stoltz Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.52%
Wilheim Family Investment Company, Inc. Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
RRW, LLC Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 93.48%
Wo Holdings LLC Organization, Blue Ash, OH Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Addisu M Temesgen Individual Operational/Managerial Control Jan 1, 2016
Adp of the SNF Jan 1, 2016
Health Care Holdings, LLC Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 93.48%
Donna Groves Individual Corporate Officer Jan 1, 2016
Organization, Blue Ash, OH LLC Adp of the SNF Jun 4, 2025
I. Rosedale Family Investment Company Inc Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
R.S. Wilheim Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2016 31.16%
Pall Mall MGMT Co., LLC Organization, Baltimore, MD LLC, Management services company Operational/Managerial Control Jan 1, 2016
Adp of the SNF Apr 22, 2025
Stephanie Hill Individual Operational/Managerial Control Jan 1, 2016
Adp of the SNF Jan 1, 2016
Charles Stoltz Individual Corporate OfficerSecretary/Treasurer Jan 1, 2016

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 110

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

View all 110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1053609800",
    "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": "4601 PALL MALL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-664-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "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/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "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": "Northwest Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.