Organization Active NPI

Southern Leasing Co., LLC

  • Skilled Nursing Facility
  • Keyser, WV
National Provider Identifier
1902545288
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHERN LEASING CO., LLC
Practice address
135 Southern Dr
Keyser, WV 26726-2010
Phone
(304) 788-3415
NPI assigned
Jun 3, 2022
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

135 Southern Dr
Keyser, WV 26726-2010

Mailing address

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

Other names 1

  • Keyser 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
O20220824001317 WV Part A Provider - Skilled Nursing Facility 3274916234 Practice locations: Keyser, WV

Skilled nursing facility certification: CCN 515122

Legal name
SOUTHERN LEASING CO., LLC
Doing business as
KEYSER HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1993
Last certification
Jan 10, 2024
Beds
122
Ownership / control type
Corporation
Multi-facility organization
Communicare
Organization structure
LLCProprietary
Incorporated
Mar 14, 2002 in OH
Enrollment address
135 Southern Dr
Keyser, WV 26726-2010
Nursing home name
KEYSER HEALTHCARE CENTER
Affiliated entity
COMMUNICARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Keyser Healthcare CenterCCN 515122
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122111.0 residents per day on average
Chain
Communicare Health110 facilities in the chain
Penalties (3 years)
1Fines totaling $35,045

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
51D0690029Southern Leasing Co, LLC135 Southern Drive, Keyser, WV 26726Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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
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 Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 31.16%
RRW, LLC Organization, Blue Ash, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 93.48%
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%
Mark Smeltzer Individual Operational/Managerial Control Jun 10, 2024
Adp of the SNF Jun 10, 2024
Donna Groves Individual Corporate OfficerDelegated Official Jul 1, 2022 100%
Operational/Managerial Control Apr 14, 2023
Harshad S Bokil Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Rosedale Family Investment Company, Inc Organization, Blue Ash, OH 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%
Organization, Blue Ash, OH LLC Adp of the SNF Jun 3, 2025
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%
Limited Partnership Interest Jul 1, 2022 15.89%
Southern MGT Co., LLC Organization, Keyser, WV LLC, Management services company Operational/Managerial Control Jul 1, 2022
Adp of the SNF Apr 25, 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%
Limited Partnership Interest Jul 1, 2022 100%
Charles Stoltz Individual Corporate OfficerSecretary / Treasurer 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 2

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

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": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1902545288",
    "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": "135 SOUTHERN DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262010",
            "telephone_number": "304-788-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN 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": "Keyser Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.