Avalon Care Center-Pasco LLC
Organization Active NPI Skilled Nursing Facility · Pasco, WA
NPI 1508850876 · NPPES record last updated Aug 17, 2022
Key facts
- NPI
- 1508850876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH 1362 (WA)
- Legal business name
- AVALON CARE CENTER-PASCO LLC
- Practice address
- 2004 N 22ND Ave
Pasco, WA 99301-3313 - Phone
- (509) 547-8811
- Fax
- (509) 545-6276
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Charles Kirton
- Title
- Ceo/Chairman
- Phone
- (801) 596-8844
Owners & managing parties with NPI records 1
-
Brooks Watson II, M.D.
Facilities with the same owner 17
Practitioners 5
-
Scott Caveny, M.D., PH.D.
-
Brooks Watson II, M.D.
Affiliated clinicians 3
-
Scott Caveny, M.D., PH.D.
-
Brooks Watson II, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Avalon Health & Rehabilitation Center - Pasco
- 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
- Active
- Certified beds
- 108 · 63.0 residents per day on average
- Chain
- Avalon Health Care
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0717546 | Avalon Care Center | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
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 · Proprietary
- 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
All disclosed owners & managing parties 21
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030920000003 | WA | Part a Provider - Skilled Nursing Facility | 8325959406 | Practice locations: Pasco, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH 1362 | WA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113627 | Medicaid | WA |
Other names
- Avalon Health & Rehabilitation Center - Pasco
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All providers in Pasco, WA · Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.