Organization Active NPI

Avalon Care Center-Pasco LLC

Doing business as Avalon Health & Rehabilitation Center - Pasco

  • Skilled Nursing Facility
  • Pasco, WA
National Provider Identifier
1508850876
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH 1362 Issued in WA
Legal business name
AVALON CARE CENTER-PASCO LLC
Doing business as
Avalon Health & Rehabilitation Center - Pasco
Practice address
2004 N 22ND Ave
Pasco, WA 99301-3313
Phone
(509) 547-8811
Fax
(509) 545-6276
NPI assigned
Sep 1, 2005
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH 1362 WA Primary

Addresses

Primary practice location

2004 N 22ND Ave
Pasco, WA 99301-3313

Mailing address

206 N 2100 W
Salt Lake City, UT 84116-2927
Phone (801) 325-0155

Other names 1

  • Avalon Health & Rehabilitation Center - Pasco Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030920000003 WA Part A Provider - Skilled Nursing Facility 8325959406 Practice locations: Pasco, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508850876. Details of each certification follow.

Skilled nursing facility certification: CCN 505126

Legal name
AVALON CARE CENTER-PASCO LLC
Doing business as
AVALON HEALTH AND REHABILITATION CENTER-PASCO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1974
Last certification
May 27, 2025
Beds
108
Ownership / control type
Corporation
Multi-facility organization
Avalon Health Care
Organization structure
LLCProprietary
Incorporated
Aug 26, 2003 in WA
Enrollment address
2004 N 22ND Ave
Pasco, WA 99301-3313
Nursing home name
AVALON HEALTH & REHABILITATION CENTER - PASCO
Affiliated entity
AVALON HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avalon Health & Rehabilitation Center - PascoCCN 505126 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10863.0 residents per day on average
Chain
Avalon Health Care16 facilities in the chain

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
50D0717546Avalon Care Center2004 N 22ND St, Pasco, WA 99301Certificate of waiverApr 4, 2028

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
Candice Durham Individual Operational/Managerial Control Dec 8, 2025
Adp of the SNF Dec 8, 2025
The Byron a Kirton Individual TR Organization, Alpine, UT 5% Or Greater Indirect Ownership Interest Oct 1, 2025 26.67%
Robert D Woltil Individual Corporate DirectorBoard Director May 23, 2012
Managing Control - Governing BodyBoard Director May 23, 2012
Avalon Health Care Management Inc Organization, Salt Lake City, UT Corporation, Management services company, For-profit Operational/Managerial Control Aug 26, 2003
Adp of the SNF May 18, 2026
Avalon Holdco Equities, L.L.C. Organization, Salt Lake City, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 15, 2026 100%
Hyrum a Kirton Individual TR Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Oct 1, 2025 33.33%
Spencer Kirton Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2025 33.33%
Corporate DirectorBoard Director Aug 27, 2024
Managing Control - Governing BodyBoard Director Aug 27, 2024
Nicole Smith Individual Corporate OfficerChief Nursing Officer Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Avalon Health Care Inc Organization, Salt Lake City, UT Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 26, 2003 100%
Bradford Harris Individual Corporate OfficerCfo Mar 16, 2026
Operational/Managerial Control Mar 16, 2026
Adp of the SNF Mar 16, 2026
Byron a Kirton Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2025 33.33%
Corporate DirectorBoard Director Aug 27, 2024
Managing Control - Governing BodyBoard Director Aug 27, 2024
Avalon of Washington LLC Organization, Salt Lake City, UT LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 26, 2003 100%
K-Team LLC Organization, Alpine, UT LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2025 6.67%
Avalon Care LLC Organization, Salt Lake City, UT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 26, 2003 100%
Hyrum Kirton Individual 5% Or Greater Indirect Ownership InterestSenior Vice President Oct 1, 2025 33.33%
Corporate OfficerSenior Vice President Mar 29, 2022
Corporate DirectorBoard Director Aug 27, 2024
Operational/Managerial Control Mar 29, 2022
Managing Control - Governing BodyBoard Director Aug 27, 2024
Adp of the SNF Mar 29, 2022
Spencer K Kirton Individual TR Organization, Coalville, UT 5% Or Greater Indirect Ownership Interest Oct 1, 2025 33.33%
David E Dangerfield Individual Managing Control - Governing BodyBoard Director Apr 5, 2007
Brooks Watson Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Avalon Holding Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 26, 2003 100%
Alan B Hash Individual Corporate OfficerCeo Aug 15, 2017
Operational/Managerial Control Aug 15, 2017
Adp of the SNF Aug 15, 2017
2004 North 22ND Avenue, LLC Organization, Los Angeles, CA LLC Adp of the SNF Aug 26, 2003

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 17

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

View all 17

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 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": "1660694400000",
    "number": "1508850876",
    "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": "801-325-0155",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N 22ND AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013313",
            "telephone_number": "509-547-8811",
            "fax_number": "509-545-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER-PASCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "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": "NH 1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Health & Rehabilitation Center - Pasco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avalon Health & Rehabilitation Center - Pasco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.