South Leasing (VA) Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH LEASING (VA) CO., LLC

Doing business as

Petersburg Healthcare Center

Practice address

287 E South Blvd
Petersburg, VA 23805-2700

Phone

(804) 733-1190

Fax

(804) 733-0796

NPI assigned

Mar 16, 2017

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 Stoltz

Title

Secretary / Treasurer

Phone

(513) 530-1808

Specialties & licenses 1

Addresses

Other names 1

• Petersburg Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245771765. Details of each certification follow.

• CCN 495144 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495144

Legal name

SOUTH LEASING VA CO LLC

Doing business as

PETERSBURG HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1984

Last certification

Apr 15, 2022

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Communicare

Organization structure

LLCProprietary

Incorporated

Feb 10, 2017 in OH

Enrollment address

287 E South Blvd
Petersburg, VA 23805-2700

Nursing home name

PETERSBURG HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Petersburg Healthcare CenterCCN 495144 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120106.8 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 $26,125

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 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.

• Abdul Q Mohiuddin, MD

  • Family Medicine Physician
  • Hopewell, VA
  • NPI 1003885575

  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.

• Cedars Leasing Co., LLC

  dba Cedars Healthcare Center

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1386185809

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, PC MSTR Lsco, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Fam

  CMS ownership
• Columbia Leasing Co., LLC

  dba Annandale Healthcare Center

  • Skilled Nursing Facility
  • Annandale, VA
  • NPI 1902347420

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, PC MSTR Lsco, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Fam

  CMS ownership
• Flank Leasing Co., LLC

  dba Battlefield Park Healthcare Center

  • Skilled Nursing Facility
  • Petersburg, VA
  • NPI 1972044485

  C.R. Stoltz Family Investment Company Inc, C.R. Stoltz Irrevocable Trust, I. Rosedale Family Investment Company Inc, I. Rosedale Irrevocable Trust, PC MSTR Lsco, LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Fam

  CMS ownership
• Tiswell Leasing Co., LLC

  dba Mount Vernon Healthcare Center

  • Skilled Nursing Facility
  • Alexandria, VA
  • NPI 1023526472

  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
• 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
• 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, 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
• 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
• Anchorage SNF LLC

  dba Anchorage Healthcare Center

  • Skilled Nursing Facility
  • Salisbury, MD
  • NPI 1326336132

  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
• 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
• 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, Wilheim Family Investment Company

  CMS ownership
• Bel Pre Leasing Co., LLC

  dba Silver Spring Healthcare Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1063699288

  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
• 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

Affiliated clinicians 1

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

• Abdul Q Mohiuddin, MD

  • Family Medicine Physician
  • Hopewell, VA
  • NPI 1003885575

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1245771765",
    "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": "287 E SOUTH BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052700",
            "telephone_number": "804-733-1190",
            "fax_number": "804-733-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LEASING (VA) CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "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": "NU",
            "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": "Petersburg Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Petersburg Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Smith, CRNA
• Mary Kathleen Smotrys, PT, DPT
• Lauren Snead, CCC/SLP
• Soft Life Therapeutics LLC
• Crystal Sue Luckett Solomon, LPC
• Southerncare Inc (SouthernCare Petersburg)
• Southside Dental Associates PC
• Southside Dental Cares, PC
• Southside Family Practice P.C.
• Southside Kidney Specialists

• Skilled Nursing Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Skilled Nursing Facility in 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.