Active NPI
Avalon Care Center - Aberdeen, LLC
Doing business as Grays Harbor Health & Rehabilitation Center
- Skilled Nursing Facility
- Aberdeen, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1356
- Legal business name
- AVALON CARE CENTER - ABERDEEN, LLC
- Doing business as
- Grays Harbor Health & Rehabilitation Center
- Practice address
- 920 Anderson Dr
Aberdeen, WA 98520-1007 - Phone
- (360) 532-5122
- Fax
- (360) 532-9048
- NPI assigned
- Sep 1, 2005
- Last updated
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Kirton
- Title
- Ceo/Chairman
- Phone
- (801) 596-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1356 | WA | Primary |
Addresses
Primary practice location
920 Anderson Dr
Aberdeen, WA 98520-1007
Mailing address
206 N 2100 W
Salt Lake City, UT 84116-2927
Phone (801) 325-0153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113569 | Medicaid | WA |
Other names 1
- Grays Harbor Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030920000008 | WA | Part A Provider - Skilled Nursing Facility | 4688585763 | Practice locations: Aberdeen, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194719450. Details of each certification follow.
Skilled nursing facility certification: CCN 505016
- Legal name
- AVALON CARE CENTER - ABERDEEN, LLC
- Doing business as
- GRAYS HARBOR HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Mar 19, 2025
- Beds
- 105
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Avalon Healthcare
- Organization structure
- LLC
- Incorporated
- Aug 26, 2003 in WA
- Enrollment address
- 920 Anderson Dr
Aberdeen, WA 98520-1007 - Nursing home name
- GRAYS HARBOR HEALTH & REHABILITATION CENTER
- Affiliated entity
- AVALON HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Grays Harbor Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 105
- Chain
- Avalon Health Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0673874 | Grays Harbor Health & Rehabilitation Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Neel Ramesh Chheda | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| The Byron a Kirton Individual TR | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 26.67% |
| Robert D Woltil | Corporate Director | May 23, 2012 | |
| Managing Control - Governing Body | May 23, 2012 | ||
| Avalon Health Care Management Inc | Operational/Managerial Control | Dec 1, 2003 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Avalon Holdco Equities, L.L.C. | 5% Or Greater Indirect Ownership Interest | Apr 15, 2026 | 100% |
| 920 Anderson Drive, L.L.C. | Adp of the SNF | Nov 30, 2024 | |
| Hyrum a Kirton Individual TR | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 33.33% |
| Spencer Kirton | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 33.33% |
| Corporate Director | Aug 27, 2024 | ||
| Managing Control - Governing Body | Aug 27, 2024 | ||
| Chukwuemeka Nwankwo | Operational/Managerial Control | Apr 14, 2026 | |
| Adp of the SNF | Apr 14, 2026 | ||
| Nicole Smith | Corporate Officer | Mar 1, 2023 | |
| Operational/Managerial Control | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Avalon Health Care Inc | 5% Or Greater Indirect Ownership Interest | Aug 26, 2003 | 100% |
| Operational/Managerial Control | Dec 1, 2003 | ||
| Adp of the SNF | Dec 1, 2003 | ||
| Bradford Harris | Corporate Officer | Mar 16, 2026 | |
| Operational/Managerial Control | Mar 16, 2026 | ||
| Adp of the SNF | Mar 16, 2026 | ||
| Byron a Kirton | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 33.33% |
| Corporate Director | Aug 27, 2024 | ||
| Managing Control - Governing Body | Aug 27, 2024 | ||
| Avalon of Washington LLC | 5% Or Greater Direct Ownership Interest | Jul 20, 2004 | 100% |
| K-Team LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 6.67% |
| Avalon Care LLC | 5% Or Greater Indirect Ownership Interest | Aug 26, 2003 | 100% |
| Hyrum Kirton | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 33.33% |
| Corporate Officer | Mar 29, 2022 | ||
| Corporate Director | Aug 27, 2024 | ||
| Operational/Managerial Control | Mar 29, 2022 | ||
| Managing Control - Governing Body | Aug 27, 2024 | ||
| Adp of the SNF | Mar 29, 2022 | ||
| Spencer K Kirton Individual TR | 5% Or Greater Indirect Ownership Interest | Oct 1, 2025 | 33.33% |
| David E Dangerfield | Corporate Director | Apr 5, 2007 | |
| Managing Control - Governing Body | Apr 5, 2007 | ||
| Avalon Holding Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2003 | 100% |
| Keli Clevenger | Operational/Managerial Control | Mar 12, 2023 | |
| Adp of the SNF | Mar 12, 2023 | ||
| Alan B Hash | Corporate Officer | Aug 15, 2017 | |
| Operational/Managerial Control | Aug 15, 2017 | ||
| Adp of the SNF | Aug 15, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1336678382
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 17
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Avalon Healthcare - Bellingham
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1396585907
Avalon Health Care Management Inc, Avalon Holding Inc
-
- Skilled Nursing Facility
- Federal Way, WA
- NPI 1902890262
Avalon Care LLC, Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Avalon of Washington LLC, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR
-
dba Avalon Care Center - Northpointe
- Skilled Nursing Facility
- Spokane, WA
- NPI 1992799266
Avalon Care LLC, Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc, Avalon of Washington LLC, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR
-
dba Benson Heights Rehabilitation Center
- Skilled Nursing Facility
- Kent, WA
- NPI 1861488280
Avalon Care LLC, Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holdco Equities, L.L.C., Avalon Holding Inc, Avalon of Washington LLC, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton
-
dba Avalon Health & Rehabilitation Center - Pasco
- Skilled Nursing Facility
- Pasco, WA
- NPI 1508850876
Avalon Care LLC, Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holdco Equities, L.L.C., Avalon Holding Inc, Avalon of Washington LLC, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton
-
dba Avalon Healthcare - Tacoma
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1942040563
Avalon Health Care Inc, Avalon Health Care Management Inc, Avalon Holding Inc
-
- Skilled Nursing Facility
- Honolulu, HI
- NPI 1518951607
Avalon Care LLC, 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
-
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
-
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, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR
-
dba George E. Wahlen Ogden Veterans Home
- Skilled Nursing Facility
- Ogden, UT
- NPI 1114253275
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
-
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 Holdco Equities, L.L.C., Avalon Holding Inc, Hyrum a Kirton Individual TR, K-Team LLC, Spencer K Kirton Individual TR, The Byron a Kirton Individual TR
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1336678382
-
- Internal Medicine Physician
- Aberdeen, WA
- NPI 1326046400
Affiliated clinicians 3
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": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1194719450",
"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": "920 ANDERSON DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201007",
"telephone_number": "360-532-5122",
"fax_number": "360-532-9048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON CARE CENTER - ABERDEEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "KIRTON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO/CHAIRMAN",
"authorized_official_telephone_number": "801-596-8844"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "1356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4113569",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grays Harbor Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.