Crestview Terrace Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESTVIEW TERRACE LEASING CO., LLC

Doing business as

Bridgeport Healthcare Center of WV

Practice address

41 Crestview Ter
Bridgeport, WV 26330-1010

Phone

(304) 842-7101

NPI assigned

Jun 3, 2022

Last updated

May 1, 2025By the provider in NPPES

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

• Bridgeport Healthcare Center of WV Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871232140. Details of each certification follow.

• CCN 515141 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 515141

Legal name

CRESTVIEW TERRACE LEASING CO., LLC

Doing business as

BRIDGEPORT HEALTHCARE CENTER OF WV

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 6, 1996

Last certification

Oct 3, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Communicare

Organization structure

LLCProprietary

Enrollment address

41 Crestview Ter
Bridgeport, WV 26330-1010

Nursing home name

BRIDGEPORT HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Bridgeport Healthcare CenterCCN 515141 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 6, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6059.4 residents per day on average

Chain

Communicare Health110 facilities in the chain

Penalties (3 years)

1Fines totaling $8,021

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.

• James E Malone, D.O.

  • Family Medicine Physician
  • Bridgeport, WV
  • NPI 1134225832

  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

  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
• Autumn Leasing Co., LLC

  dba Berkeley Springs Healthcare Center

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

  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
• Blue Ridge Nursing, LLC

  dba Willow Tree Healthcare Center

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

  I. Rosedale Irrevocable Trust, Ronald S Wilheim 2012 Spousal Trust, Rosedale Family Investment Company, Inc, S.L. Rosedale Irrevocable Trust

  CMS ownership
• BP WV Maplewood Leasing Co., LLC

  dba Maplewood Healthcare Center

  • Skilled Nursing Facility
  • Bridgeport, WV
  • NPI 1427762996

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

  CMS ownership
• Chesterfield Leasing Co., LLC

  dba Charleston Healthcare Center

  • Skilled Nursing Facility
  • Charleston, WV
  • NPI 1780323063

  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
• Clinic Leasing Co., LLC

  dba Clay Healthcare Center

  • Skilled Nursing Facility
  • Ivydale, WV
  • NPI 1104530682

  I. Rosedale Irrevocable Trust, 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

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

  CMS ownership
• Days Leasing Co., LLC

  dba Braxton Healthcare Center

  • Skilled Nursing Facility
  • Sutton, WV
  • NPI 1598479065

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

  CMS ownership
• Erbacon Leasing Co., LLC

  dba Webster Healthcare Center

  • Skilled Nursing Facility
  • Cowen, WV
  • NPI 1548974090

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

  CMS ownership
• Floral Leasing Co., LLC

  dba Moundsville Healthcare Center

  • Skilled Nursing Facility
  • Moundsville, WV
  • NPI 1497494645

  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
• Four Leaf Clover Leasing Co., LLC

  dba Martinsburg Healthcare Center

  • Skilled Nursing Facility
  • Martinsburg, WV
  • NPI 1972242253

  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
• GB WV Maplewood Leasing Co., LLC

  dba Seneca Trail Healthcare Center

  • Skilled Nursing Facility
  • Lewisburg, WV
  • NPI 1699489153

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

  CMS ownership

Practitioners 1

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.

• James E Malone, D.O.

  • Family Medicine Physician
  • Bridgeport, WV
  • NPI 1134225832
  NPD (past)

Affiliated clinicians 1

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

• James E Malone, D.O.

  • Family Medicine Physician
  • Bridgeport, WV
  • NPI 1134225832

  Nursing home

  Care Compare affiliation

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": "1871232140",
    "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": "41 CRESTVIEW TER",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301010",
            "telephone_number": "304-842-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW TERRACE 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": "Bridgeport Healthcare Center of WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Henry Cotner, DO
• Christopher Don Courtney, DO
• James Thomas Courtney, DDS
• Suzanne Whitney Courtney, MD
• Mindy Sue Cox
• Gregory A Crickard, D.C.
• Naomi Crickenberger, LICSW
• Annette K Crislip, M.A., L.P.C.
• Lisa Critchfield, OTR/L
• Daisy Lynn Culverhouse-Perry, AGACNP

• Skilled Nursing Facility in Bridgeport, WV
• Providers in Bridgeport, 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.