Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3678040771 · 24 matching records

Enrollment id
O20030920000003
Associate id
8325959406
Organization name
AVALON CARE CENTER-PASCO 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
O20030920000003
Associate id
8325959406
Organization name
AVALON CARE CENTER-PASCO 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
O20030920000003
Associate id
8325959406
Organization name
AVALON CARE CENTER-PASCO 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
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, 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
CHIEF FINANCIAL OFFICER
Enrollment id
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, 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
O20090421000114
Associate id
7719075100
Organization name
AVALON CARE CENTER-KENT, 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
O20101103000814
Associate id
5395939342
Organization name
GARDEN VILLAGE
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
O20101103000814
Associate id
5395939342
Organization name
GARDEN VILLAGE
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
O20101103000814
Associate id
5395939342
Organization name
GARDEN VILLAGE
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
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
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS 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
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS 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
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS 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

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