Organization Active NPI

Livingston Leasing Co., LLC

Doing business as Fort Washington Health Center

  • Skilled Nursing Facility
  • Fort Washington, MD
National Provider Identifier
1669659884
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIVINGSTON LEASING CO., LLC
Doing business as
Fort Washington Health Center
Practice address
12021 Livingston Rd
Ft Washington, MD 20744-4210
Phone
(301) 292-0300
NPI assigned
Jan 30, 2008
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 R Stoltz
Title
Secretary / Treasurer
Phone
(513) 530-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

12021 Livingston Rd
Ft Washington, MD 20744-4210

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
414429500MedicaidMD

Other names 1

  • Fort Washington Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000005 MD Part A Provider - Skilled Nursing Facility 4587733654 Practice locations: Ft Washington, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669659884. Details of each certification follow.

Skilled nursing facility certification: CCN 215146

Legal name
LIVINGSTON LEASING CO., LLC
Doing business as
FT. WASHINGTON HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1983
Last certification
Feb 2, 2024
Beds
150
Ownership / control type
Corporation
Multi-facility organization
Communicare Health Services
Most recent change of ownership
Apr 1, 2026
Organization structure
LLCProprietary
Incorporated
Apr 19, 2008 in OH
Enrollment address
12021 Livingston Rd
Ft Washington, MD 20744-4210
Nursing home name
FT WASHINGTON REHABILITATION AND WELLNESS CENTER
Affiliated entity
HEALTH CARE FACILITY MANAGEMENT, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
FT Washington Rehabilitation and Wellness CenterCCN 215146 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150139.1 residents per day on average
Chain
Health Care Facility Management, LLC5 facilities in the chain
Penalties (3 years)
1Fines totaling $7,443

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Minority Report LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2021 6.52%
Adp of the SNF Jun 30, 2021
Organization, Blue Ash, OH LLC Adp of the SNF Jun 26, 2025
Mitul Dave Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Toledo HC Holdings LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2021 93.48%
Adp of the SNF Jun 30, 2021
Wilber Galeas Individual Operational/Managerial Control Jan 22, 2024
Adp of the SNF Jan 22, 2024
Ronald Wilheim Individual Corporate OfficerPresident Apr 19, 2008
Cobalt I Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jun 30, 2021 31.16%
Adp of the SNF Jun 30, 2021
Dominic a Romeo Individual Operational/Managerial Control Apr 1, 2023
Livingston MGMT Co., LLC Organization, Ft Washington, MD LLC Operational/Managerial Control Jun 30, 2021
Adp of the SNF Jun 26, 2025
Cobalt II Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jun 30, 2021 31.16%
Adp of the SNF Jun 30, 2021
Cobalt III Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jun 30, 2021 31.16%
Adp of the SNF Jun 30, 2021
Cobalt IV Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jun 30, 2021 6.52%
Adp of the SNF Jun 30, 2021
Donna Groves Individual Operational/Managerial Control Jan 1, 2023
CT Operations Holdco LLC Organization, Blue Ash, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2021 100%
Organization, Ft Washington, MD LLC Adp of the SNF Jun 30, 2021
CT Healthcare Holdings LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2021 100%
Adp of the SNF Jun 30, 2021
Charles Stoltz Individual Corporate OfficerSecretary / Treasurer Apr 19, 2008

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 4

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1669659884",
    "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": "12021 LIVINGSTON RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444210",
            "telephone_number": "301-292-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414429500",
            "state": "MD"
        }
    ],
    "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": "Fort Washington Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.