Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0941104954 · 28 matching records

Enrollment id
O20030920000003
Associate id
8325959406
Organization name
AVALON CARE CENTER-PASCO 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
O20030920000003
Associate id
8325959406
Organization name
AVALON CARE CENTER-PASCO 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
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
O20030920000014
Associate id
0042121121
Organization name
AVALON CARE CENTER - HONOLULU, 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
O20030920000014
Associate id
0042121121
Organization name
AVALON CARE CENTER - HONOLULU, 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
O20030920000023
Associate id
2769393842
Organization name
AVALON CARE CENTER-NEWMAN 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
O20030920000023
Associate id
2769393842
Organization name
AVALON CARE CENTER-NEWMAN 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
O20030920000024
Associate id
3577474659
Organization name
AVALON CARE CENTER-MERCED FRANCISCAN, 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
O20030920000024
Associate id
3577474659
Organization name
AVALON CARE CENTER-MERCED FRANCISCAN, 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
O20081125000141
Associate id
9234299942
Organization name
AVALON CARE CENTER - VA SALT LAKE II 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
O20081125000141
Associate id
9234299942
Organization name
AVALON CARE CENTER - VA SALT LAKE II 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
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, 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
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, 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
O20091124000683
Associate id
4981743309
Organization name
AVALON CARE CENTER - VA OGDEN 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
O20091124000683
Associate id
4981743309
Organization name
AVALON CARE CENTER - VA OGDEN 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
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
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-08-20
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2012-08-20
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20240627002803
Associate id
7719421031
Organization name
AVALON CARE CENTER - SCAPPOOSE, LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-07-01
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20240627002803
Associate id
7719421031
Organization name
AVALON CARE CENTER - SCAPPOOSE, LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-07-01
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
BOARD DIRECTOR
Enrollment id
O20240923003675
Associate id
6800337494
Organization name
AVALON HEALTHCARE - TACOMA LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-03-12
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
DIRECTOR
Enrollment id
O20240924002788
Associate id
8123569688
Organization name
AVALON CARE CENTER - BELLINGHAM LLC
Associate id - owner
0941104954
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2025-03-17
First name - owner
ROBERT
Middle name - owner
D
Last name - owner
WOLTIL
Title - owner
DIRECTOR

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list