Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1942040563 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1942040563","entity_type_code":"2"} |
| pac_id | 6800337494 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1942040563","rule":"D-PECOS","enrlmt_id":"O20240923003675","pecos_asct_cntl_id":"6800337494"} |
| pecos_enrlmt_id | O20240923003675 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1942040563","rule":"D-PECOS","enrlmt_id":"O20240923003675"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | ROBERT D WOLTIL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941104954","source_pk":261048,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | CHARLES R KIRTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"03/12/2025","percentage_ownership":20.8} evidence: {"rule":"D-OWNER","owner_pac":"1355251141","source_pk":261049,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20.8,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | JANET KIRTON 2011 IRRV TR (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658801535","source_pk":261050,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | LAURA STENGEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759681703","source_pk":261051,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | SPENCER KIRTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163941428","source_pk":261052,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | KIRTON MANAGEMENT COMPANY, LLC (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/26/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769929181","source_pk":261053,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | AVALON HEALTH CARE INC (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173436995","source_pk":261054,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | RYAN NELSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375080922","source_pk":261055,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | BYRON A KIRTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678850450","source_pk":261057,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | FLOYD SEKERAMAYI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486907490","source_pk":261058,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | LYNN SIEDENSTRANG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092066001","source_pk":261060,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | THE CHARLES R KIRTON SR 2000 TRUST (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597295477","source_pk":261061,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | HYRUM KIRTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799093696","source_pk":261062,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | DIANA THOMPSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406351766","source_pk":261063,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | CHARLES KIRTON 2011 IRRV TR (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406393826","source_pk":261065,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | MARTINA IRWIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800962416","source_pk":261066,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | CHARLES H GONZALES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517874456","source_pk":261068,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | MULTICARE HEALTH SYSTEM (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/26/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719899897","source_pk":261069,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | DAVID E DANGERFIELD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/12/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911819982","source_pk":261070,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | AVALON HOLDING INC (UT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325959471","source_pk":261071,"type_owner":"O","enrollment_id":"O20240923003675","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
| ← owns | ALAN B HASH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032115357","source_pk":261072,"type_owner":"I","enrollment_id":"O20240923003675","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AVALON HEALTHCARE-TACOMA LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1942040563 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2024-05-30 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | AVALON HEALTHCARE - TACOMA, LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | WA | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1942040563: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…