Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3779937040 · 6 matching records

Enrollment id
O20030920000007
Associate id
3779494851
Organization name
AVALON CARE CENTER - SPOKANE, 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
O20030920000008
Associate id
4688585763
Organization name
AVALON CARE CENTER - ABERDEEN, 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
O20030920000011
Associate id
7315858495
Organization name
AVALON CARE CENTER - FEDERAL WAY, 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
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
O20130612000605
Associate id
7810136397
Organization name
AVALON CARE CENTER - VA IVINS 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
O20240923003675
Associate id
6800337494
Organization name
AVALON HEALTHCARE - TACOMA 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

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