Avalon Care Center - Scappoose, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7719421031 Enrollment ID O20240627002803

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 9 organizations · 12 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Avalon Health Care Inc3173436995Organization5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Hyrum Kirton5799093696Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Corporate Director33.33
Jonathan M Hutchinson7214475607IndividualOperational/Managerial Control; ADP of the SNF
Arash Fathizadeh7911405493IndividualOperational/Managerial Control; ADP of the SNF
Alan B Hash9032115357IndividualOperational/Managerial Control; ADP of the SNF
Avalon Health Care Management Inc1557274370OrganizationOperational/Managerial Control; ADP of the SNF
Nicole Smith3072022177IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Richard W. Moberly1456402650IndividualOperational/Managerial Control; ADP of the SNF
Ryan Nelson3375080922IndividualOperational/Managerial Control; ADP of the SNF
Maria Borisevich7517476617IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Byron A Kirton3678850450Individual5% or Greater Indirect Ownership Interest; Corporate Director; Managing Control - Governing Body33.33
Spencer Kirton2163941428Individual5% or Greater Indirect Ownership Interest; Corporate Director; Managing Control - Governing Body33.33
David E Dangerfield7911819982IndividualCorporate Director; Managing Control - Governing Body
Robert D Woltil0941104954IndividualCorporate Director; Managing Control - Governing Body
Avalon Holding Inc8325959471Organization5% or Greater Direct Ownership Interest; ADP of the SNF100
Hyrum a Kirton Individual Tr1951899749Organization5% or Greater Indirect Ownership Interest; ADP of the SNF33.33
Spencer K Kirton Individual Tr7214425008Organization5% or Greater Indirect Ownership Interest; ADP of the SNF33.33
The Byron a Kirton Individual Tr0840788634Organization5% or Greater Indirect Ownership Interest; ADP of the SNF26.67
K-TEAM LLC4587152376Organization5% or Greater Indirect Ownership Interest; ADP of the SNF6.67
Avalon Real Estate LLC4385174275OrganizationADP of the SNF
Avalon Realty - Scappoose LLC0749710630OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Avalon Care Center - Scappoose
Avalon Care Center - Scappoose, LLC
31 residents
Other disclo…
5.36Ovr★★★★Stf★★★★Ins★★★★QM★★★☆☆31
  • Avalon Care Center - Scappoose, LLC
    Other disclosed role31 res5.36 HPRD
    Overall 4Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
07/01/2024Avalon Care Center - ScappooseAvalon Care Center - Scappoose, LLCEea CompanyBuyer
  1. 07/01/2024
    Eea CompanyAvalon Care Center - Scappoose, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Avalon Care Center - Scappoose, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.