Jarvis Leasing Co., LLC
Organization Active NPI Skilled Nursing Facility · Akron, OH
NPI 1366433690 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1366433690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1886N (OH)
- Legal business name
- JARVIS LEASING CO., LLC
- Practice address
- 670 Jarvis Rd
Akron, OH 44319-2538 - Phone
- (330) 645-0200
- Fax
- (330) 645-0316
- NPI assigned
- Nov 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Charles R Stoltz
- Title
- Secretary / Treasurer
- Phone
- (513) 530-1808
Owners & managing parties with NPI records 1
-
Dean Deperro Sr., DO
Facilities with the same owner 110
Practitioners 4
-
Barbara Amanambu, M.D.
-
Dean Deperro Sr., DO
-
Evan Cecil Howe, MD, PHD, MPH
-
Natalie A Kayani, MD
Affiliated clinicians 3
-
Barbara Amanambu, M.D.
-
Dean Deperro Sr., DO
-
Natalie A Kayani, MD
Medicare Care Compare: Nursing home
- Listed as
- Pebble Creek Healthcare Center
- 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
- Active
- Certified beds
- 150 · 144.3 residents per day on average
- Chain
- Communicare Health
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0341041 | Pebble Creek Healthcare Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald S Wilheim 2012 Spousal Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 21.68% |
| Adp of the SNF | Feb 28, 2006 | ||
| |
Adp of the SNF | Jul 24, 2025 | |
| Option Holdings III, LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2019 | 100% |
| Adp of the SNF | Nov 1, 2019 | ||
| Dean J Deperro |
Operational/Managerial Control | Jul 5, 2014 | |
| Adp of the SNF | Jul 24, 2025 | ||
| I. Rosedale Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 5% |
| Adp of the SNF | Feb 28, 2006 | ||
| Ronald Wilheim |
Corporate Officer |
Jan 1, 2012 | |
| Dominic a Romeo |
Corporate Officer |
Apr 1, 2023 | |
| C.R. Stoltz Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 6.52% |
| Adp of the SNF | Feb 28, 2006 | ||
| Third Option Re Co., LLC |
Adp of the SNF | Nov 1, 2019 | |
| Wilheim Family Investment Company, Inc. |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 44.24% |
| Adp of the SNF | Feb 28, 2006 | ||
| RRW, LLC |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 93.48% |
| Adp of the SNF | Feb 28, 2006 | ||
| Jarvis MGT Co LLC |
Operational/Managerial Control | Feb 28, 2006 | |
| Adp of the SNF | Jul 24, 2025 | ||
| Third Option Op Co., LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2019 | 100% |
| Donna Groves |
Corporate Officer |
Apr 14, 2023 | |
| Operational/Managerial Control | Apr 14, 2023 | ||
| |
Adp of the SNF | Nov 1, 2019 | |
| The Stephen L. Rosedale 2012 Spousal Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 22.12% |
| Adp of the SNF | Feb 28, 2006 | ||
| Rosedale Family Investment Company, Inc |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 22.12% |
| Adp of the SNF | Feb 28, 2006 | ||
| C R Stoltz II LLC |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 6.52% |
| Adp of the SNF | Feb 28, 2006 | ||
| S.L. Rosedale Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 22.12% |
| Adp of the SNF | Feb 28, 2006 | ||
| Cari Templeton |
Operational/Managerial Control | Jan 3, 2022 | |
| Adp of the SNF | Jul 24, 2025 | ||
| R.S. Wilheim Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Feb 28, 2006 | 22.56% |
| Adp of the SNF | Feb 28, 2006 | ||
| Charles Stoltz |
Corporate Officer |
Jan 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070313000351 | OH | Part a Provider - Skilled Nursing Facility | 8729093745 | Practice locations: Akron, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1886N | OH | Yes |
Addresses
Primary practice location
670 Jarvis Rd
Akron, OH 44319-2538
Mailing address
10123 Alliance Rd
Blue Ash, OH 45242-4887
Phone (513) 530-1808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2607110 | Medicaid | OH |
Other names
- Pebble Creek Healthcare Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Akron, OH
- Anna Jares
- Leslie Johnson Jaroch
- Christina Michelle Jarovski
- Adam Jarrett
- Kalyn Marie Jarrett
- Angela Lynn Jarvis McCullen
- Amy Marie Jarvis
- Ann Jarvis
- Leah Marie Jarvis
- Melissa Jarvis
All providers in Akron, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.