King Tree Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1649N Issued in OH

Legal business name

KING TREE LEASING CO., LLC

Doing business as

Riverside Healthcare Center

Practice address

1390 King Tree Dr
Dayton, OH 45405-1401

Phone

(937) 278-0723

Fax

(937) 278-1989

NPI assigned

Nov 2, 2005

Last updated

May 1, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Riverside Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114918836. Details of each certification follow.

• CCN 365877 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365877

Legal name

KING TREE LEASING CO., LLC

Doing business as

RIVERSIDE HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 29, 1992

Last certification

Jun 23, 2022

Beds

180

Ownership / control type

Corporation

Multi-facility organization

Communicare Family of Companies

Organization structure

LLCProprietary

Incorporated

Feb 7, 2005 in OH

Enrollment address

1390 King Tree Dr
Dayton, OH 45405-1401

Nursing home name

RIVERSIDE NURSING AND REHABILITATION CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Riverside Nursing and Rehabilitation CenterCCN 365877 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 29, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180163.7 residents per day on average

Chain

Communicare Health110 facilities in the chain

Penalties (3 years)

2Fines totaling $85,284

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

All disclosed owners & managing parties 24

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.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505

  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.

• 17TH St Leasing Co LLC

  dba The Pines Healthcare Center

  • Skilled Nursing Facility
  • Canton, OH
  • NPI 1538667829

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

  CMS ownership
• Addison Leasing Co., LLC

  dba Addison Healthcare Center

  • Skilled Nursing Facility
  • Masury, OH
  • NPI 1053810358

  C.R. Stoltz Family Investment Company Inc, 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 Irrevocab

  CMS ownership
• Avis Leasing Co., LLC

  dba Hanover Healthcare Center

  • 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, The Stephen L. Rosedale 2012 Spou

  CMS ownership
• Bentley Leasing Co., LLC

  dba Salem West Healthcare Center

  • Skilled Nursing Facility
  • Salem, OH
  • NPI 1629577325

  C.R. Stoltz Family Investment Company Inc, 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 Irrevocab

  CMS ownership
• Blue Ash Hospice, LLC

  dba Dignity Care Partners of Blue Ash Hospice

  • Community Based Hospice Care Agency
  • Blue Ash, OH
  • NPI 1609651611

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

  CMS ownership
• Camargo Leasing Co, LLC

  dba Madeira Healthcare Center

  • Skilled Nursing Facility
  • Madeira, OH
  • NPI 1730762873

  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
• Canfield Leasing Co., LLC

  dba Canfield Healthcare Center

  • Skilled Nursing Facility
  • Youngstown, OH
  • NPI 1720587785

  C.R. Stoltz Family Investment Company Inc, 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 Irrevocab

  CMS ownership
• Clifton Care Center, Inc

  dba Clifton Healthcare Center

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1518941442

  C.R. Stoltz Irrevocable Trust, I. Rosedale Irrevocable Trust, S.L. Rosedale Irrevocable Trust

  CMS ownership
• Clime Leasing Co., LLC

  dba Columbus Healthcare Center

  • Skilled Nursing Facility
  • Columbus, OH
  • NPI 1962680322

  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
• Colon Leasing Co., LLC

  dba The Colony Healthcare Center

  • Skilled Nursing Facility
  • Tallmadge, OH
  • NPI 1710485701

  C.R. Stoltz Family Investment Company Inc, 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 Irrevocab

  CMS ownership
• Continental I Leasing Co., LLC

  dba Salem North Healthcare Center

  • Skilled Nursing Facility
  • Salem, OH
  • NPI 1447759410

  C.R. Stoltz Family Investment Company Inc, 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 Irrevocab

  CMS ownership
• CV Operating Co., LLC.

  dba Blueridge Vista Health and Wellness

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1053784454

  I. Rosedale Family Investment Company Inc, 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 Invest

  CMS ownership

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.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1114918836",
    "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": "1390 KING TREE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454051401",
            "telephone_number": "937-278-0723",
            "fax_number": "937-278-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING TREE LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "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": "OH",
            "license": "1649N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530489",
            "state": "OH"
        }
    ],
    "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": "Riverside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Kinderdine
• Kindred Connections Therapy Center
• Kindred Hospital
• Kindred Hospitals East, LLC (Kindred Hospital - Dayton)
• Kindred Hospitals East, LLC (Kindred Hospital - Dayton (Behavioral Health Unit))
• Andrea L King, LSW
• Andrea Lynn King, PA-C
• Antonio King Jr., LSATP
• Beverly R King, O.T.
• Brianna Marie King, MS, RDN, LD

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.