Public record

CMS Skilled Nursing Facility All Owners

Associate id: 9032358692 · 47 matching records

Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
0749526861
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2018-12-18
Organization name - owner
AVALON VETERANS SERVICES, L.L.C.
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 200
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
0840788634
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
Organization name - owner
THE BYRON A KIRTON INDIVIDUAL TR
Address line 1 - owner
1118 E VILLAGE WAY
City - owner
ALPINE
State - owner
UT
Zip code - owner
840041795
Percentage ownership
26.67
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-05-23
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-05-23
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
1557274370
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2010-02-03
Organization name - owner
AVALON HEALTH CARE MANAGEMENT INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
1557274370
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-02
Organization name - owner
AVALON HEALTH CARE MANAGEMENT INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
1658847678
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2026-04-15
Organization name - owner
AVALON HOLDCO EQUITIES, L.L.C.
Address line 1 - owner
206 N 2100 W
Address line 2 - owner
STE 200
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841164741
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
1951899749
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
Organization name - owner
HYRUM A KIRTON INDIVIDUAL TR
Address line 1 - owner
2945 E ROBIDOUX RD
City - owner
SANDY
State - owner
UT
Zip code - owner
840931128
Percentage ownership
33.33
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
2163941428
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
First name - owner
SPENCER
Last name - owner
KIRTON
Percentage ownership
33.33
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
2163941428
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-08-27
First name - owner
SPENCER
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
2163941428
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-08-27
First name - owner
SPENCER
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3072022177
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-03-01
First name - owner
NICOLE
Last name - owner
SMITH
Title - owner
CHIEF NURSING OFFICER
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3072022177
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-03-01
First name - owner
NICOLE
Last name - owner
SMITH
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3072022177
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-03-01
First name - owner
NICOLE
Last name - owner
SMITH
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3173436995
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2012-08-20
Organization name - owner
AVALON HEALTH CARE INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
Y
Owned by another org or ind - owner
Y
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3173436995
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-08-20
Organization name - owner
AVALON HEALTH CARE INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3173436995
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-05-21
Organization name - owner
AVALON HEALTH CARE INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Trust or trustee - owner
N
Other type - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678040771
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2026-03-16
First name - owner
BRADFORD
Last name - owner
HARRIS
Title - owner
CFO
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678040771
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-03-16
First name - owner
BRADFORD
Last name - owner
HARRIS
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678040771
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-03-16
First name - owner
BRADFORD
Last name - owner
HARRIS
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678850450
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
First name - owner
BYRON
Middle name - owner
A
Last name - owner
KIRTON
Percentage ownership
33.33
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678850450
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-08-27
First name - owner
BYRON
Middle name - owner
A
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3678850450
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-08-27
First name - owner
BYRON
Middle name - owner
A
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
3779937040
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2026-05-13
First name - owner
MICHAEL
Last name - owner
DERRICK
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
4587152376
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
Organization name - owner
K-TEAM LLC
Address line 1 - owner
1118 E VILLAGE WAY
City - owner
ALPINE
State - owner
UT
Zip code - owner
840041795
Percentage ownership
6.67
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
First name - owner
HYRUM
Last name - owner
KIRTON
Percentage ownership
33.33
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-03-29
First name - owner
HYRUM
Last name - owner
KIRTON
Title - owner
SENIOR VICE PRESIDENT
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-08-27
First name - owner
HYRUM
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-29
First name - owner
HYRUM
Last name - owner
KIRTON
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-08-27
First name - owner
HYRUM
Last name - owner
KIRTON
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5799093696
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-29
First name - owner
HYRUM
Last name - owner
KIRTON
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5991276974
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2026-04-01
First name - owner
LORI
Middle name - owner
ANN
Last name - owner
BRANNIN
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
5991276974
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2026-04-01
First name - owner
LORI
Middle name - owner
ANN
Last name - owner
BRANNIN
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
6800797333
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-08-20
Organization name - owner
STATE OF UTAH
Doing business as name - owner
UTAH DEPARTMENT OF VETERANS & MILITARY AFFAIRS
Address line 1 - owner
550 S FOOTHILL DRIVE
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841480001
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
STATE GOVERNMENT
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
6800797333
Type - owner
O
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2012-08-20
Organization name - owner
STATE OF UTAH
Doing business as name - owner
UTAH DEPARTMENT OF VETERANS & MILITARY AFFAIRS
Address line 1 - owner
550 S FOOTHILL DRIVE
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841480001
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
Y
Other type text - owner
STATE GOVERNMENT
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
7214425008
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-10-01
Organization name - owner
SPENCER K KIRTON INDIVIDUAL TR
Address line 1 - owner
533 RIVER RUN LN
City - owner
COALVILLE
State - owner
UT
Zip code - owner
840175406
Percentage ownership
33.33
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
7911819982
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-04-05
First name - owner
DAVID
Middle name - owner
E
Last name - owner
DANGERFIELD
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
7911819982
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2007-04-05
First name - owner
DAVID
Middle name - owner
E
Last name - owner
DANGERFIELD
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
8325184328
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-11-01
First name - owner
WESLEY
Middle name - owner
S
Last name - owner
BOTT
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
8325184328
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2016-11-01
First name - owner
WESLEY
Middle name - owner
S
Last name - owner
BOTT
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
8325959471
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2012-08-20
Organization name - owner
AVALON HOLDING INC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
8426525197
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-12-21
First name - owner
JOSHUA
Last name - owner
NEWBY
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
8426525197
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-12-21
First name - owner
JOSHUA
Last name - owner
NEWBY
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
9032115357
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-08-15
First name - owner
ALAN
Middle name - owner
B
Last name - owner
HASH
Title - owner
CEO
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
9032115357
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-08-15
First name - owner
ALAN
Middle name - owner
B
Last name - owner
HASH
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
9032115357
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-08-15
First name - owner
ALAN
Middle name - owner
B
Last name - owner
HASH
Enrollment id
O20130612000323
Associate id
9032358692
Organization name
AVALON CARE CENTER - VA PAYSON LLC
Associate id - owner
9638498256
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-02-17
Organization name - owner
AVALON VA MANAGEMENT LLC
Address line 1 - owner
206 N 2100 W
City - owner
SALT LAKE CITY
State - owner
UT
Zip code - owner
841162927
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Trust or trustee - owner
N
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
Y

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