Organization Active NPI

Glenwood Park Leasing Co., LLC

Doing business as Glenwood Healthcare Center

  • Skilled Nursing Facility
  • Princeton, WV
National Provider Identifier
1427797679
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLENWOOD PARK LEASING CO., LLC
Doing business as
Glenwood Healthcare Center
Practice address
1924 Glenwood Park Rd
Princeton, WV 24739-7969
Phone
(304) 425-8128
NPI assigned
Jun 3, 2022
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 Primary

Addresses

Primary practice location

1924 Glenwood Park Rd
Princeton, WV 24739-7969

Mailing address

10123 Alliance Rd
Blue Ash, OH 45242-4714
Phone (513) 530-1808

Other names 1

  • Glenwood Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/CDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220819002500 WV Part A Provider - Skilled Nursing Facility 6406239649 Practice locations: Princeton, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427797679. Details of each certification follow.

Skilled nursing facility certification: CCN 515028

Legal name
GLENWOOD PARK LEASING CO., LLC
Doing business as
GLENWOOD HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1968
Last certification
Feb 13, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Communicare
Most recent change of ownership
Jul 1, 2022
Organization structure
LLCProprietary
Incorporated
Mar 15, 2022 in OH
Enrollment address
1924 Glenwood Park Rd
Princeton, WV 24739-7969
Nursing home name
GLENWOOD HEALTHCARE CENTER
Affiliated entity
COMMUNICARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glenwood Healthcare CenterCCN 515028 · 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 - Corporation
Certified
Jan 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10077.6 residents per day on average
Chain
Communicare Health110 facilities in the chain

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
51D0710485Glenwood Park Leasing Co, LLC1924 Glenwood Park Road, Princeton, WV 24739Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Ronald S Wilheim 2012 Spousal Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2022 15.27%
Organization, Lakewood, NJ LLC Adp of the SNF Mar 9, 2022
I. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2022 31.16%
Ronald Wilheim Individual Corporate OfficerPresident Jul 1, 2022
Organization, Blue Ash, OH LLC Adp of the SNF Mar 9, 2022
Dominic a Romeo Individual Corporate OfficerCfo Apr 1, 2023
Operational/Managerial Control Apr 1, 2023
C.R. Stoltz Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2022 6.52%
WV LT Care Op Co., LLC Organization, Blue Ash, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Wilheim Family Investment Company, Inc. Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 31.16%
RRW, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 93.48%
Crystal Parks Individual Operational/Managerial Control Aug 8, 2023
Adp of the SNF Apr 11, 2025
HC Real Estate Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 93.48%
Donna Groves Individual Corporate OfficerDelegated Official Apr 14, 2023
Operational/Managerial Control Apr 14, 2023
Michael Saval Individual Operational/Managerial Control Apr 14, 2024
Adp of the SNF Apr 12, 2025
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 31.16%
C R Stoltz II LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 6.52%
S.L. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2022 31.16%
R.S. Wilheim Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2022 15.89%
Organization, Blue Ash, OH LLC Adp of the SNF Jun 5, 2025
Omg Re Holdings LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Glenwood Park MGT. Co., LLC Organization, Princeton, WV LLC, Management services company Operational/Managerial Control Jul 1, 2022
Adp of the SNF May 15, 2025
Charles Stoltz Individual Corporate OfficerTreasurer/Secretary Jul 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Practitioners & affiliated clinicians

Practitioners 3

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": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1427797679",
    "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": "452424714",
            "telephone_number": "513-530-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 GLENWOOD PARK RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247397969",
            "telephone_number": "304-425-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PARK LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "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": null,
            "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": "Glenwood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.