Avalon Care Center - Va Salt Lake II LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9234299942 Enrollment ID O20081125000141

Details

Linked facilitiesFacilities
1
StatesStates
1

21 parties: 10 organizations · 11 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
Angela Braegger3577920271IndividualOperational/Managerial Control; ADP of the SNF
Kristin Hueftle0244553980IndividualOperational/Managerial Control; ADP of the SNF
Maria Borisevich7517476617IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Nicole Smith3072022177IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Lacey Watson8224504774IndividualOperational/Managerial Control; ADP of the SNF
Alan B Hash9032115357IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Avalon Health Care Management Inc1557274370OrganizationOperational/Managerial Control; ADP of the SNF
State of Utah6800797333OrganizationOperational/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
Robert D Woltil0941104954IndividualCorporate Director; Managing Control - Governing Body
David E Dangerfield7911819982IndividualCorporate Director; Managing Control - Governing Body
Avalon Va Management LLC9638498256Organization5% or Greater Direct Ownership Interest100
Avalon Veterans Services, L.L.C.0749526861Organization5% or Greater Indirect Ownership Interest100
Avalon Holding Inc8325959471Organization5% or Greater Indirect Ownership Interest100
Hyrum a Kirton Individual Tr1951899749Organization5% or Greater Indirect Ownership Interest33.33
Spencer K Kirton Individual Tr7214425008Organization5% or Greater Indirect Ownership Interest33.33
The Byron a Kirton Individual Tr0840788634Organization5% or Greater Indirect Ownership Interest26.67
K-TEAM LLC4587152376Organization5% or Greater Indirect Ownership Interest6.67

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
William E Christofferson Salt Lake Veterans Home
Avalon Care Center - Va Salt Lake II LLC
73 residents
Other disclo…
4.38Ovr★★★★★Stf★★★★★Ins★★★★QM★★★★★73
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Avalon Care Center - Va Salt Lake II LLC in FEC filings. Similar names may appear—confirm on FEC.gov.