Active NPI
Avalon Care Center-Pasco LLC
Doing business as Avalon Health & Rehabilitation Center - Pasco
- Skilled Nursing Facility
- Pasco, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH 1362
- 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, 2022
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 - Pasco
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1974
- Medicare certification status
- Active
- Certified beds
- 108
- 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 |
|---|---|---|---|
| 50D0717546 | Avalon Care Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Candice Durham | Operational/Managerial Control | Dec 8, 2025 | |
| Adp of the SNF | Dec 8, 2025 | ||
| 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 | Aug 26, 2003 | |
| Adp of the SNF | May 18, 2026 | ||
| Avalon Holdco Equities, L.L.C. | 5% Or Greater Indirect Ownership Interest | Apr 15, 2026 | 100% |
| 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 | ||
| 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% |
| 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 | Aug 26, 2003 | 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 | Managing Control - Governing Body | Apr 5, 2007 | |
| Brooks Watson | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Avalon Holding Inc | 5% Or Greater Indirect Ownership Interest | Aug 26, 2003 | 100% |
| Alan B Hash | Corporate Officer | Aug 15, 2017 | |
| Operational/Managerial Control | Aug 15, 2017 | ||
| Adp of the SNF | Aug 15, 2017 | ||
| 2004 North 22ND Avenue, 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.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1063451763
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 Grays Harbor Health & Rehabilitation Center
- Skilled Nursing Facility
- Aberdeen, WA
- NPI 1194719450
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 - 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 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 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.
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1841501335
-
- Nurse Practitioner
- Mukilteo, WA
- NPI 1396589594
-
- General Practice Physician
- Seattle, WA
- NPI 1730602921
-
- Nurse Practitioner
- Richland, WA
- NPI 1942701784
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1063451763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.