Hidden Brook Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HIDDEN BROOK LEASING CO., LLC

Doing business as

Cabell Healthcare Center

Practice address

30 Hidden Brook Way
Culloden, WV 25510-9190

Phone

(304) 390-5709

NPI assigned

Jan 10, 2023

Last updated

Apr 30, 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 Stoltz

Title

Treasurer

Phone

(513) 530-1808

Specialties & licenses 1

Addresses

Other names 1

• Cabell Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124732680. Details of each certification follow.

• CCN 515192 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 515192

Legal name

HIDDEN BROOK LEASING CO., LLC

Doing business as

CABELL HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 4, 2012

Last certification

Feb 14, 2024

Beds

90

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 14, 2022 in OH

Enrollment address

30 Hidden Brook Way
Culloden, WV 25510-9190

Nursing home name

CABELL HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Cabell Healthcare CenterCCN 515192 · 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 - Limited Liability company

Certified

Jun 4, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9087.2 residents per day on average

Chain

Communicare Health110 facilities in the chain

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.

• Christopher Edward Bowman, MD

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1649231606

  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

  dba River Oaks Healthcare Center

  • 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

  dba Berkeley Springs Healthcare Center

  • 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

  dba Willow Tree Healthcare Center

  • 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

  dba Maplewood Healthcare Center

  • 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, Marantz WV Holdings, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilhei

  CMS ownership
• Chesterfield Leasing Co., LLC

  dba Charleston Healthcare Center

  • 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
• Clinic Leasing Co., LLC

  dba Clay Healthcare Center

  • Skilled Nursing Facility
  • Ivydale, WV
  • NPI 1104530682

  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
• Crestview Terrace Leasing Co., LLC

  dba Bridgeport Healthcare Center of WV

  • 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

  dba Clarksburg Healthcare Center

  • 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, Marantz WV Holdings, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilhei

  CMS ownership
• Days Leasing Co., LLC

  dba Braxton Healthcare Center

  • 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, Marantz WV Holdings, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilhei

  CMS ownership
• Erbacon Leasing Co., LLC

  dba Webster Healthcare Center

  • 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, Marantz WV Holdings, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilhei

  CMS ownership
• Floral Leasing Co., LLC

  dba Moundsville Healthcare Center

  • 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

  dba Martinsburg Healthcare Center

  • 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

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.

• Christopher Edward Bowman, MD

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1649231606
  NPD (past)

Affiliated clinicians 1

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

• Christopher Edward Bowman, MD

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1649231606

  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": "1745971200000",
    "number": "1124732680",
    "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": "30 HIDDEN BROOK WAY",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255109190",
            "telephone_number": "304-390-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN BROOK LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "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": "NU",
            "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": "Cabell Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Ann Fulks
• Whitney Gillespie
• Tina Glenn
• Keelee Goode, MT
• Taylor Grimmett
• Vickie Hoffman
• John Horn II
• Carolyn Hudson
• Melissa Kay Johnson
• Samantha Rene Johnson

• Skilled Nursing Facility in Culloden, WV
• Providers in Culloden, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.