Avalon Care Center - VA Ogden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVALON CARE CENTER - VA OGDEN LLC

Doing business as

George E. Wahlen Ogden Veterans Home

Practice address

1102 N 1200 W
Ogden, UT 84404-3687

Phone

(801) 325-0153

NPI assigned

Oct 26, 2009

Last updated

Aug 12, 2022By 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 Kirton

Title

Ceo

Phone

(801) 596-8844

Specialties & licenses 1

Addresses

Other names 1

• George E. Wahlen Ogden Veterans Home Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114253275. Details of each certification follow.

• CCN 465172 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 465172

Legal name

AVALON CARE CENTER - VA OGDEN LLC

Doing business as

GEORGE E. WAHLEN OGDEN VETERANS HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 3, 2010

Last certification

Aug 7, 2024

Beds

120

Ownership / control type

State

Multi-facility organization

State of Utah

Organization structure

LLCProprietary

Incorporated

Jun 9, 2009 in UT

Enrollment address

1102 N 1200 W
Ogden, UT 84404-3687

Nursing home name

GEORGE E. WAHLEN OGDEN VETERANS HOME

Affiliated entity

AVALON HEALTH CARE

Listed as

George E. Wahlen Ogden Veterans HomeCCN 465172 · All quality measures

Overall star rating

4 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Government - State

Certified

Feb 3, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120112.5 residents per day on average

Chain

Avalon Health Care16 facilities in the chain

Penalties (3 years)

1Fines totaling $12,363

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

Networks

• UT PPOPlans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert R Mohr, MD

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1750314480

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• State of Utah

  dba Utah State Hospital

  • Psychiatric Hospital
  • Provo, UT
  • NPI 1811978620

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 17

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

• Avalon Care Center - VA Ivins LLC

  dba Southern Utah Veterans Home - Ivins

  • Skilled Nursing Facility
  • Ivins, UT
  • NPI 1366783466

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Avalon VA Management LLC, Avalon Veterans Services, L.L.C., Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, State of Utah, The Byron a Kirton

  CMS ownership
• Avalon Care Center - VA Payson LLC

  dba Mervyn Sharp Bennion Central Utah Veterans Home

  • Skilled Nursing Facility
  • Payson, UT
  • NPI 1205177722

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Avalon VA Management LLC, Avalon Veterans Services, L.L.C., Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, State of Utah, The Byron a Kirton

  CMS ownership
• Avalon Care Center - VA Salt Lake II LLC

  dba William E. Christoffersen Salt Lake Veterans Home

  • Skilled Nursing Facility
  • SLC, UT
  • NPI 1972754133

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Avalon VA Management LLC, Avalon Veterans Services, L.L.C., Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, State of Utah, The Byron a Kirton

  CMS ownership
• Brightenlife Home Health LLC

  dba Brightenlife Home Health

  • Home Health Agency
  • Murray, UT
  • NPI 1144506825

  Avalon Health Care Inc, Avalon Health Care Management Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Brightenlife Hospice, L.L.C.

  • Community Based Hospice Care Agency
  • St George, UT
  • NPI 1730936188

  Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center - Aberdeen, LLC

  dba Grays Harbor Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Aberdeen, WA
  • NPI 1194719450

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center - Bellingham, LLC

  dba Avalon Healthcare - Bellingham

  • Skilled Nursing Facility
  • Bellingham, WA
  • NPI 1396585907

  Avalon Health Care Management Inc, Avalon Holding Inc

  CMS ownership
• Avalon Care Center - Federal Way LLC

  • Skilled Nursing Facility
  • Federal Way, WA
  • NPI 1902890262

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center - Honolulu LLC

  • Skilled Nursing Facility
  • Honolulu, HI
  • NPI 1518951607

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center - Scappoose, L.L.C.

  dba Avalon Care Center - Scappoose

  • Skilled Nursing Facility
  • Scappoose, OR
  • NPI 1790531010

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center - Spokane LLC

  dba Avalon Care Center - Northpointe

  • Skilled Nursing Facility
  • Spokane, WA
  • NPI 1992799266

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership
• Avalon Care Center-Kent LLC

  dba Benson Heights Rehabilitation Center

  • Skilled Nursing Facility
  • Kent, WA
  • NPI 1861488280

  Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR

  CMS ownership

Affiliated clinicians 1

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

• Robert R Mohr, MD

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1750314480

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1114253275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162927",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N 1200 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043687",
            "telephone_number": "801-325-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - VA OGDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-596-8844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George E. Wahlen Ogden Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "George E. Wahlen Ogden Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ogden, UT
• Providers in Ogden, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.