Organization Active NPI

Davisson Run Leasing Co., LLC

Doing business as Clarksburg Healthcare Center

  • Skilled Nursing Facility
  • Clarksburg, WV
National Provider Identifier
1336853803
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DAVISSON RUN LEASING CO., LLC
Doing business as
Clarksburg Healthcare Center
Practice address
2096 Davisson Run Rd
Clarksburg, WV 26301-7361
Phone
(304) 624-6500
NPI assigned
Jan 10, 2023
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 Stoltz
Title
Treasurer
Phone
(513) 530-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2096 Davisson Run Rd
Clarksburg, WV 26301-7361

Mailing address

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

Other names 1

  • Clarksburg Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721003402 WV Part A Provider - Skilled Nursing Facility 0244690220 Practice locations: Clarksburg, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336853803. Details of each certification follow.

Skilled nursing facility certification: CCN 515166

Legal name
DAVISSON RUN LEASING CO LLC
Doing business as
CLARKSBURG HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1999
Last certification
Oct 17, 2024
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Communicare
Organization structure
LLCProprietary
Incorporated
Oct 19, 2022 in OH
Enrollment address
2096 Davisson Run Rd
Clarksburg, WV 26301-7361
Nursing home name
CLARKSBURG HEALTHCARE CENTER
Affiliated entity
COMMUNICARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Clarksburg Healthcare CenterCCN 515166 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11092.7 residents per day on average
Chain
Communicare Health110 facilities in the chain
Penalties (3 years)
1Fines totaling $10,036

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0236363Davisson Run Leasing Co, LLC2096 Davisson Run Rd, Clarksburg, WV 26301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 29

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 Apr 14, 2023 15.27%
Adp of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
Davisson Run MGT Co., LLC Organization, Clarksburg, WV LLC, Management services company Operational/Managerial Control Apr 14, 2023
Adp of the SNF Apr 14, 2025
Marantz WV Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 100%
Adp of the SNF Apr 14, 2023
Organization, Blue Ash, OH LLC Adp of the SNF Apr 14, 2023
Organization, Clarksburg, WV LLC Adp of the SNF Apr 14, 2023
Rca Healthcare Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 100%
Adp of the SNF Apr 14, 2023
I. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 14, 2023 31.16%
Adp of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
Ronald Wilheim Individual Corporate OfficerPresident Apr 14, 2023
Trustee of the SNF Apr 14, 2023
Organization, Blue Ash, OH LLC Adp of the SNF Apr 14, 2023
C.R. Stoltz Family Investment Company Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 6.52%
Adp of the SNF Apr 14, 2023
Rca NH Holdings Op Co., LLC Organization, Blue Ash, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 14, 2023 100%
Dominic a Romeo Individual Corporate OfficerCfo Apr 14, 2023
Joshua Barnette Individual Operational/Managerial Control Apr 14, 2023
Adp of the SNF Apr 22, 2025
C.R. Stoltz Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 14, 2023 6.52%
Adp of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
Wilheim Family Investment Company, Inc. Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 31.16%
Adp of the SNF Apr 14, 2023
RRW, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 93.48%
Adp of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
Health Care Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 93.48%
Adp of the SNF Apr 14, 2023
Donna Groves Individual Corporate OfficerVice President of Revenue Cycle Apr 14, 2023
I. Rosedale Family Investment Company Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 31.16%
Adp of the SNF Apr 14, 2023
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 14, 2023 31.16%
Adp of the SNF Apr 14, 2023
Individual Trustee of the SNF Apr 14, 2023
S.L. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 14, 2023 31.16%
Adp of the SNF Apr 14, 2023
R.S. Wilheim Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 14, 2023 15.89%
Adp of the SNF Apr 14, 2023
Charles Stoltz Individual Corporate OfficerTreasurer Apr 14, 2023
Trustee of the SNF Apr 14, 2023

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1336853803",
    "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": "2096 DAVISSON RUN RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263017361",
            "telephone_number": "304-624-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISSON RUN 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksburg Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

Verify at the official NPI Registry.