Professional Park Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROFESSIONAL PARK LEASING CO., LLC

Doing business as

Summersville Healthcare Center

Practice address

712 Professional Park Dr
Summersville, WV 26651-2000

Phone

(304) 926-2756

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Addresses

Other names 1

• Summersville Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Skilled nursing facility certification: CCN 515199

Legal name

PROFESSIONAL PARK LEASING CO LLC

Doing business as

SUMMERSVILLE HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 8, 2023

Last certification

Nov 14, 2024

Beds

90

Ownership / control type

Corporation

Multi-facility organization

Communicare

Organization structure

LLCProprietary

Incorporated

Mar 16, 2022 in OH

Enrollment address

712 Professional Park Dr
Summersville, WV 26651-2000

Nursing home name

SUMMERSVILLE HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Summersville Healthcare CenterCCN 515199 · 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

Feb 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9088.4 residents per day on average

Chain

Communicare Health110 facilities in the chain

Penalties (3 years)

2Fines totaling $58,780

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.

• Scott A Keffer, DO

  • Family Medicine Physician
  • Ansted, WV
  • NPI 1700878881

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 111

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

• 100 Parkway Leasing Co., LLC

  dba River Oaks Healthcare Center

  • Skilled Nursing Facility
  • Clarksburg, WV
  • NPI 1689313967

  C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,

  CMS ownership
• Autumn Leasing Co., LLC

  dba Berkeley Springs Healthcare Center

  • Skilled Nursing Facility
  • Berkeley Springs, WV
  • NPI 1780323055

  C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,

  CMS ownership
• Blue Ridge Nursing, LLC

  dba Willow Tree Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Charles Town, WV
  • NPI 1346449451

  C.R. Stoltz Irrevocable Trust, I. Rosedale 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
• BP WV Maplewood Leasing Co., LLC

  dba Maplewood Healthcare Center

  • Skilled Nursing Facility
  • Bridgeport, WV
  • NPI 1427762996

  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
• Chesterfield Leasing Co., LLC

  dba Charleston Healthcare Center

  • Skilled Nursing Facility
  • Charleston, WV
  • NPI 1780323063

  C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,

  CMS ownership
• Clinic Leasing Co., LLC

  dba Clay Healthcare Center

  • Skilled Nursing Facility
  • Ivydale, WV
  • NPI 1104530682

  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
• Crestview Terrace Leasing Co., LLC

  dba Bridgeport Healthcare Center of WV

  • Skilled Nursing Facility
  • Bridgeport, WV
  • NPI 1871232140

  I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, S.L. Rosedale Irrevocable Trust

  CMS ownership
• Davisson Run Leasing Co., LLC

  dba Clarksburg Healthcare Center

  • Skilled Nursing Facility
  • Clarksburg, WV
  • NPI 1336853803

  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
• Days Leasing Co., LLC

  dba Braxton Healthcare Center

  • Skilled Nursing Facility
  • Sutton, WV
  • NPI 1598479065

  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
• Erbacon Leasing Co., LLC

  dba Webster Healthcare Center

  • Skilled Nursing Facility
  • Cowen, WV
  • NPI 1548974090

  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
• Floral Leasing Co., LLC

  dba Moundsville Healthcare Center

  • Skilled Nursing Facility
  • Moundsville, WV
  • NPI 1497494645

  C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,

  CMS ownership
• Four Leaf Clover Leasing Co., LLC

  dba Martinsburg Healthcare Center

  • Skilled Nursing Facility
  • Martinsburg, WV
  • NPI 1972242253

  C R Stoltz II LLC, C.R. Stoltz Irrevocable Trust, HC Real Estate Holdings, LLC, I. Rosedale Irrevocable Trust, Omg Re Holdings LLC, R.S. Wilheim Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, RRW,

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott A Keffer, DO

  • Family Medicine Physician
  • Ansted, WV
  • NPI 1700878881
  NPD (past)
• Richard Stockton Trenbath, M.D.

  • Family Medicine Physician
  • Summersville, WV
  • NPI 1124002043
  NPD (past)

Affiliated clinicians 1

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

• Scott A Keffer, DO

  • Family Medicine Physician
  • Ansted, WV
  • NPI 1700878881

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1679295414",
    "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": "712 PROFESSIONAL PARK DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512000",
            "telephone_number": "304-926-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PARK LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "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": "Summersville Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myra D. Priddy, MD
• Shandace Pritt, LPN
• Sherry Lynn Proctor
• Taylor M Proctor
• Professional Medical Ultrasonics Inc.
• Haley Pruitt
• Hollea M. Pugh, OTR
• William E Pugh III, O.D.
• Ann Renee Rader
• Cynthia A Rader

• Skilled Nursing Facility in Summersville, WV
• Providers in Summersville, WV by specialty
• Skilled Nursing Facility in West Virginia

• 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.