Organization Active NPI

Fayette Leasing Co., LLC

Doing business as Fayette Health & Rehab Center

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1851578082
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FAYETTE LEASING CO., LLC
Doing business as
Fayette Health & Rehab Center
Practice address
1217 W Fayette St
Baltimore, MD 21223-1938
Phone
(410) 727-3947
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 NU Primary

Addresses

Primary practice location

1217 W Fayette St
Baltimore, MD 21223-1938

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
414424400MedicaidMD

Other names 1

  • Fayette Health & Rehab 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
O20080515000022 MD Part A Provider - Skilled Nursing Facility 0840369914 Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851578082. Details of each certification follow.

Skilled nursing facility certification: CCN 215183

Legal name
FAYETTE LEASING CO., LLC
Doing business as
FAYETTE HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1989
Last certification
Apr 3, 2024
Beds
156
Ownership / control type
Corporation
Multi-facility organization
Communicare Health Services
Organization structure
LLCProprietary
Incorporated
Apr 19, 2008 in OH
Enrollment address
1217 W Fayette St
Baltimore, MD 21223-1938

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fayette Health and Rehabilitation CenterCCN 215183 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
156128.6 residents per day on average
Penalties (3 years)
2Fines totaling $162,159

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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 Jan 1, 2023 15.27%
Adp of the SNF Apr 4, 2008
Falling MGT Co LLC Organization, Baltimore, MD LLC, Management services company Operational/Managerial Control Dec 5, 2018
Adp of the SNF May 15, 2025
Tiffany Burnette Individual Operational/Managerial Control Apr 21, 2023
Adp of the SNF Apr 7, 2025
Second Option Op Co LLC Organization, Blue Ash, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 5, 2018 100%
I. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 4, 2008 31.16%
Adp of the SNF Apr 4, 2008
Ronald Wilheim Individual Corporate OfficerPresident Apr 4, 2008
Option Holdings II LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2008 100%
Adp of the SNF Apr 4, 2008
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 Apr 4, 2008 6.52%
Adp of the SNF Apr 4, 2008
Wilheim Family Investment Company, Inc. Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 31.16%
Adp of the SNF Apr 4, 2008
RRW, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 93.48%
Adp of the SNF Apr 4, 2008
Organization, Blue Ash, OH LLC Adp of the SNF Dec 5, 2018
HC Real Estate Holdings, LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2008 93.48%
Adp of the SNF Apr 4, 2008
Donna Groves Individual Operational/Managerial Control Apr 14, 2023
Organization, Baltimore, MD LLC Adp of the SNF Dec 5, 2018
Narender Bharaj Individual Operational/Managerial Control May 1, 2015
Adp of the SNF Apr 8, 2025
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 31.16%
Adp of the SNF Apr 4, 2008
C R Stoltz II LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 6.52%
Adp of the SNF Apr 4, 2008
S.L. Rosedale Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 31.16%
Adp of the SNF Apr 4, 2008
Organization, Blue Ash, OH LLC Adp of the SNF Jun 5, 2025
R.S. Wilheim Irrevocable Trust Organization, Blue Ash, OH 5% Or Greater Indirect Ownership Interest Apr 4, 2008 15.89%
Adp of the SNF Apr 4, 2008
Omg Re Holdings LLC Organization, Blue Ash, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2008 100%
Adp of the SNF Apr 4, 2008
Charles Stoltz Individual Corporate OfficerSecretary / Treasurer Apr 4, 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 111

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

View all 111

Practitioners & affiliated clinicians

Practitioners 5

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 2

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": "1851578082",
    "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": "1217 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231938",
            "telephone_number": "410-727-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414424400",
            "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": "Fayette Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.