Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3072022177 · 41 matching records

Enrollment id: O20030920000003
Associate id: 8325959406
Organization name: AVALON CARE CENTER-PASCO 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: O20030920000003
Associate id: 8325959406
Organization name: AVALON CARE CENTER-PASCO 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: O20030920000003
Associate id: 8325959406
Organization name: AVALON CARE CENTER-PASCO 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: O20030920000007
Associate id: 3779494851
Organization name: AVALON CARE CENTER - SPOKANE, 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: O20030920000007
Associate id: 3779494851
Organization name: AVALON CARE CENTER - SPOKANE, 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: O20030920000007
Associate id: 3779494851
Organization name: AVALON CARE CENTER - SPOKANE, 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: O20030920000008
Associate id: 4688585763
Organization name: AVALON CARE CENTER - ABERDEEN, 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: O20030920000008
Associate id: 4688585763
Organization name: AVALON CARE CENTER - ABERDEEN, 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: O20030920000008
Associate id: 4688585763
Organization name: AVALON CARE CENTER - ABERDEEN, 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: O20030920000011
Associate id: 7315858495
Organization name: AVALON CARE CENTER - FEDERAL WAY, 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: O20030920000011
Associate id: 7315858495
Organization name: AVALON CARE CENTER - FEDERAL WAY, 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: O20030920000011
Associate id: 7315858495
Organization name: AVALON CARE CENTER - FEDERAL WAY, 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: O20030920000014
Associate id: 0042121121
Organization name: AVALON CARE CENTER - HONOLULU, 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: O20030920000014
Associate id: 0042121121
Organization name: AVALON CARE CENTER - HONOLULU, 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: O20030920000014
Associate id: 0042121121
Organization name: AVALON CARE CENTER - HONOLULU, 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: O20030920000023
Associate id: 2769393842
Organization name: AVALON CARE CENTER-NEWMAN 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: O20030920000023
Associate id: 2769393842
Organization name: AVALON CARE CENTER-NEWMAN 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: O20030920000023
Associate id: 2769393842
Organization name: AVALON CARE CENTER-NEWMAN 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: O20030920000024
Associate id: 3577474659
Organization name: AVALON CARE CENTER-MERCED FRANCISCAN, 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: O20030920000024
Associate id: 3577474659
Organization name: AVALON CARE CENTER-MERCED FRANCISCAN, 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: O20030920000024
Associate id: 3577474659
Organization name: AVALON CARE CENTER-MERCED FRANCISCAN, 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: O20081125000141
Associate id: 9234299942
Organization name: AVALON CARE CENTER - VA SALT LAKE II 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: O20081125000141
Associate id: 9234299942
Organization name: AVALON CARE CENTER - VA SALT LAKE II 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: O20081125000141
Associate id: 9234299942
Organization name: AVALON CARE CENTER - VA SALT LAKE II 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: O20090421000114
Associate id: 7719075100
Organization name: AVALON CARE CENTER-KENT, 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: O20090421000114
Associate id: 7719075100
Organization name: AVALON CARE CENTER-KENT, 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: O20090421000114
Associate id: 7719075100
Organization name: AVALON CARE CENTER-KENT, 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: O20091124000683
Associate id: 4981743309
Organization name: AVALON CARE CENTER - VA OGDEN 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: O20091124000683
Associate id: 4981743309
Organization name: AVALON CARE CENTER - VA OGDEN 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: O20091124000683
Associate id: 4981743309
Organization name: AVALON CARE CENTER - VA OGDEN 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: O20101103000814
Associate id: 5395939342
Organization name: GARDEN VILLAGE
Associate id - owner: 3072022177
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2025-06-12
First name - owner: NICOLE
Last name - owner: SMITH

Enrollment id: O20101103000814
Associate id: 5395939342
Organization name: GARDEN VILLAGE
Associate id - owner: 3072022177
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2025-06-12
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: 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: O20130612000605
Associate id: 7810136397
Organization name: AVALON CARE CENTER - VA IVINS 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: O20130612000605
Associate id: 7810136397
Organization name: AVALON CARE CENTER - VA IVINS 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: O20130612000605
Associate id: 7810136397
Organization name: AVALON CARE CENTER - VA IVINS 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: O20240627002803
Associate id: 7719421031
Organization name: AVALON CARE CENTER - SCAPPOOSE, LLC
Associate id - owner: 3072022177
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2024-07-01
First name - owner: NICOLE
Last name - owner: SMITH
Title - owner: CHIEF NURSING OFFICER

Enrollment id: O20240627002803
Associate id: 7719421031
Organization name: AVALON CARE CENTER - SCAPPOOSE, LLC
Associate id - owner: 3072022177
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2024-07-01
First name - owner: NICOLE
Last name - owner: SMITH

Enrollment id: O20240627002803
Associate id: 7719421031
Organization name: AVALON CARE CENTER - SCAPPOOSE, LLC
Associate id - owner: 3072022177
Type - owner: I
Role code - owner: 72
Role text - owner: ADP OF THE SNF
Association date - owner: 2024-07-01
First name - owner: NICOLE
Last name - owner: SMITH

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