Jarvis Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1886N Issued in OH

Legal business name

JARVIS LEASING CO., LLC

Doing business as

Pebble Creek Healthcare Center

Practice address

670 Jarvis Rd
Akron, OH 44319-2538

Phone

(330) 645-0200

Fax

(330) 645-0316

NPI assigned

Nov 4, 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 names 1

• Pebble Creek 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 1366433690. Details of each certification follow.

• CCN 365727 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365727

Legal name

JARVIS LEASING CO LLC

Doing business as

PEBBLE CREEK HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 4, 1989

Last certification

Mar 27, 2025

Beds

150

Ownership / control type

Corporation

Multi-facility organization

Communicare

Organization structure

LLCProprietary

Incorporated

Dec 16, 2005 in OH

Enrollment address

670 Jarvis Rd
Akron, OH 44319-2538

Nursing home name

PEBBLE CREEK HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Pebble Creek Healthcare CenterCCN 365727 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 4, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150144.3 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 22

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.

• Dean Deperro Sr., DO

  • Internal Medicine Physician
  • Barberton, OH
  • NPI 1568567410

  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 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
• Addison Leasing Co., LLC

  dba Addison Healthcare Center

  • Skilled Nursing Facility
  • Masury, OH
  • NPI 1053810358

  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, 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 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 Ash Hospice, LLC

  dba Dignity Care Partners of Blue Ash Hospice

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

  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
• Camargo Leasing Co, LLC

  dba Madeira Healthcare Center

  • Skilled Nursing Facility
  • Madeira, OH
  • NPI 1730762873

  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
• Canfield Leasing Co., LLC

  dba Canfield Healthcare Center

  • Skilled Nursing Facility
  • Youngstown, OH
  • NPI 1720587785

  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
• 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 II LLC, 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 Famil

  CMS ownership
• Colon Leasing Co., LLC

  dba The Colony Healthcare Center

  • Skilled Nursing Facility
  • Tallmadge, OH
  • NPI 1710485701

  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
• Continental I Leasing Co., LLC

  dba Salem North Healthcare Center

  • Skilled Nursing Facility
  • Salem, OH
  • NPI 1447759410

  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
• CV Operating Co., LLC.

  dba Blueridge Vista Health and Wellness

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1053784454

  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, Inc.

  CMS ownership

Practitioners 4

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.

• Barbara Amanambu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1851719942
  NPD (past)
• Dean Deperro Sr., DO

  • Internal Medicine Physician
  • Barberton, OH
  • NPI 1568567410
  NPD (past)
• Evan Cecil Howe, MD, PHD, MPH

  • Family Medicine Physician
  • Jefferson, OH
  • NPI 1013208438
  NPD (past)
• Natalie A Kayani, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1700865979
  NPD (past)

Affiliated clinicians 3

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

• Barbara Amanambu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1851719942

  Nursing home

  Care Compare affiliation
• Dean Deperro Sr., DO

  • Internal Medicine Physician
  • Barberton, OH
  • NPI 1568567410

  Nursing home

  Care Compare affiliation
• Natalie A Kayani, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1700865979

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1366433690",
    "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": "670 JARVIS RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192538",
            "telephone_number": "330-645-0200",
            "fax_number": "330-645-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "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": "1886N",
            "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": "Pebble Creek Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Jares
• Leslie Johnson Jaroch, RD, LD, MS, CNSC
• Christina Michelle Jarovski
• Adam Jarrett
• Kalyn Marie Jarrett, PHARMD
• Angela Lynn Jarvis McCullen
• Amy Marie Jarvis, MD
• Ann Jarvis
• Leah Marie Jarvis, PHARMD
• Melissa Jarvis, PA-C

• Skilled Nursing Facility in Akron, OH
• Providers in Akron, 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.