NPIMap

Organization Active NPI

Avalon Healthcare - Tacoma, LLC

Doing business as Avalon Healthcare - Tacoma

  • Skilled Nursing Facility
  • Tacoma, WA
National Provider Identifier
1942040563
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVALON HEALTHCARE - TACOMA, LLC
Doing business as
Avalon Healthcare - Tacoma
Practice address
7411 Pacific Ave
Tacoma, WA 98408-7118
Phone
(253) 474-8446
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hyrum Kirton
Title
Senior Vice President
Phone
(801) 596-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

7411 Pacific Ave
Tacoma, WA 98408-7118

Mailing address

206 N 2100 W Ste 100
Salt Lake City, UT 84116-4741
Phone (801) 596-8844

Other names 1

  • Avalon Healthcare - Tacoma Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923003675 WA Part A Provider - Skilled Nursing Facility 6800337494 Practice locations: Tacoma, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942040563. Details of each certification follow.

Skilled nursing facility certification: CCN 505183

Legal name
AVALON HEALTHCARE - TACOMA LLC
Doing business as
AVALON HEALTHCARE - TACOMA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 8, 1968
Last certification
Oct 9, 2024
Beds
89 (81 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avalon
Organization structure
LLCProprietary
Enrollment address
7411 Pacific Ave
Tacoma, WA 98408-7118
Nursing home name
AVALON HEALTHCARE - TACOMA
Affiliated entity
AVALON HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avalon Healthcare - TacomaCCN 505183 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 8, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8153.2 residents per day on average
Chain
Avalon Health Care16 facilities in the chain
Penalties (3 years)
1Fines totaling $24,814

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
50D2312692Avalon Healthcare -Tacoma7411 Pacific Ave, Tacoma, WA 98408Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & 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.

NameRoleSinceShare
The Byron a Kirton Individual TR Organization, Alpine, UT Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 13.34%
Robert D Woltil Individual Managing Control - Governing BodyDirector Mar 12, 2025
Avalon Health Care Management Inc Organization, Salt Lake City, UT Corporation, Management services company, For-profit Operational/Managerial Control Aug 1, 2024
Adp of the SNF Apr 14, 2026
Avalon Holdco Equities, L.L.C. Organization, Salt Lake City, UT LLC, For-profit Adp of the SNF Apr 14, 2026
Indirect Ownership Interest Apr 14, 2026 50%
Laura Stengel Individual Operational/Managerial Control Mar 12, 2025
Hyrum a Kirton Individual TR Organization, Sandy, UT Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 16.67%
Spencer Kirton Individual Managing Control - Governing BodyDirector Mar 12, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 16.67%
Cheryl Kubu Individual Operational/Managerial Control Dec 19, 2025
Adp of the SNF Dec 19, 2025
Avalon Health Care Inc Organization, Salt Lake City, UT Corporation, Holding company, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 50%
Adp of the SNF Aug 1, 2026
Ryan Nelson Individual Corporate Officer Oct 1, 2024
Managing Control - Governing BodySenior Vice President Mar 12, 2025
Byron a Kirton Individual Managing Control - Governing BodyDirector Mar 12, 2025
Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 16.67%
Avalon Care Center - Tacoma, L.L.C. Organization, Salt Lake City, UT LLC, Management services company Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Direct Ownership Interest Aug 1, 2024 50%
Floyd Sekeramayi Individual Operational/Managerial Control Mar 12, 2025
Adp of the SNF Sep 26, 2025
K-Team LLC Organization, Alpine, UT LLC, For-profit Adp of the SNF Oct 1, 2024
Indirect Ownership Interest Oct 1, 2025 3.34%
Lynn Siedenstrang Individual Operational/Managerial Control Mar 12, 2025
Hyrum Kirton Individual Corporate OfficerSenior Vice President Aug 1, 2024
Corporate DirectorBoard Director Aug 27, 2024
Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyBoard Director Aug 27, 2024
Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Oct 1, 2025 16.67%
Martina Irwin Individual Operational/Managerial Control Mar 12, 2025
Managing Control - Governing BodyRegional Vice President Mar 12, 2025
Spencer K Kirton Individual TR Organization, Coalville, UT Adp of the SNF Oct 1, 2025
Indirect Ownership Interest Oct 1, 2025 16.67%
Multicare Health System Organization, Tacoma, WA Corporation, Non-profit Adp of the SNF Aug 1, 2024
Direct Ownership Interest Aug 1, 2024 50%
David E Dangerfield Individual Managing Control - Governing BodyDirector Mar 12, 2012
Avalon Holding Inc Organization, Salt Lake City, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Adp of the SNF Mar 12, 2025
Alan B Hash Individual Operational/Managerial Control Mar 12, 2025

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 16

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

View all 16

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.

Affiliated clinicians 1

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1942040563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-596-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087118",
            "telephone_number": "253-474-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HEALTHCARE - TACOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "HYRUM",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "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": "Avalon Healthcare - Tacoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.