Clinic Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLINIC LEASING CO., LLC

Practice address

1053 Clinic Dr
Ivydale, WV 25113-8266

Phone

(304) 286-4204

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Charles Stoltz

Title

Treasurer

Phone

(513) 530-1808

Specialties & licenses 1

Addresses

Other names 1

• Clay Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Skilled nursing facility certification: CCN 515142

Legal name

CLINIC LEASING CO., LLC

Doing business as

CLAY HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 11, 1996

Last certification

May 22, 2025

Beds

60

Ownership / control type

Corporation

Multi-facility organization

communicare

Most recent change of ownership

Apr 14, 2023

Organization structure

LLCProprietary

Incorporated

Oct 19, 2022 in OH

Enrollment address

1053 Clinic Dr
Ivydale, WV 25113-8266

Nursing home name

CLAY HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Clay Healthcare CenterCCN 515142

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 11, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6056.7 residents per day on average

Chain

Communicare Health110 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $16,149

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Jeanette Helen Jackson, D.O.

  • Internal Medicine Physician
  • Richwood, WV
  • NPI 1184719023

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 110

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

• 100 Parkway Leasing Co., LLC

  • Skilled Nursing Facility
  • Clarksburg, WV
  • NPI 1689313967

  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

  CMS ownership
• Autumn Leasing Co., LLC

  • Skilled Nursing Facility
  • Berkeley Springs, WV
  • NPI 1780323055

  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

  CMS ownership
• Blue Ridge Nursing, LLC

  • Nursing Facility/Intermediate Care Facility
  • Charles Town, WV
  • NPI 1346449451

  C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW, LLC, S.L. Rosedale Irrevocable TR

  CMS ownership
• BP WV Maplewood Leasing Co., LLC

  • Skilled Nursing Facility
  • Bridgeport, WV
  • NPI 1427762996

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rose

  CMS ownership
• Chesterfield Leasing Co., LLC

  • Skilled Nursing Facility
  • Charleston, WV
  • NPI 1780323063

  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

  CMS ownership
• Crestview Terrace Leasing Co., LLC

  • Skilled Nursing Facility
  • Bridgeport, WV
  • NPI 1871232140

  I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, S.L. Rosedale Irrevocable Trust

  CMS ownership
• Davisson Run Leasing Co., LLC

  • Skilled Nursing Facility
  • Clarksburg, WV
  • NPI 1336853803

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rose

  CMS ownership
• Days Leasing Co., LLC

  • Skilled Nursing Facility
  • Sutton, WV
  • NPI 1598479065

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rose

  CMS ownership
• Erbacon Leasing Co., LLC

  • Skilled Nursing Facility
  • Cowen, WV
  • NPI 1548974090

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rose

  CMS ownership
• Floral Leasing Co., LLC

  • Skilled Nursing Facility
  • Moundsville, WV
  • NPI 1497494645

  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

  CMS ownership
• Four Leaf Clover Leasing Co., LLC

  • Skilled Nursing Facility
  • Martinsburg, WV
  • NPI 1972242253

  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

  CMS ownership
• GB WV Maplewood Leasing Co., LLC

  • Skilled Nursing Facility
  • Lewisburg, WV
  • NPI 1699489153

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, Health Care Holdings, LLC, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rose

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanette Helen Jackson, D.O.

  • Internal Medicine Physician
  • Richwood, WV
  • NPI 1184719023
  NPD (past)
• Jonathan Paul Lilly, MD

  • Family Medicine Physician
  • Dunbar, WV
  • NPI 1073574414
  NPD (past)
• Christopher Cleveland Skaggs, M.D.

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1598739476
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeanette Helen Jackson, D.O.

  • Internal Medicine Physician
  • Richwood, WV
  • NPI 1184719023

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1104530682",
    "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": "1053 CLINIC DR",
            "city": "IVYDALE",
            "state": "WV",
            "postal_code": "251138266",
            "telephone_number": "304-286-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "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": "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": "Clay Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clay SNF LLC
• Community Care of West Virginia, Inc.
• Melissa Cottrell
• Pamela Faye Douglas
• Vicki Douglas
• Christine L Jones, MD

• All providers in Ivydale, WV
• Skilled Nursing Facility in West Virginia

• 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.

Verify at the official NPI Registry.