AVALON CARE CENTER-OTHELLO LLC
NPI 1528052891
Skilled Nursing Facility in Othello, WA

Active since September 01, 2005
495 N 13TH AVE, OTHELLO, WA 99344(509) 488-9609(509) 488-6191 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avalon Care Center-othello Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON CARE CENTER-OTHELLO LLC (NPI 1528052891) is a healthcare organization registered as a skilled nursing facility in Othello, Washington and active in the NPI registry since September 2005. The organization lists Charles Kirton, Ceo/chairman, as its authorized official.

NPPES Registry Identity

NPI1528052891
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAVALON CARE CENTER-OTHELLO LLC
Location Address495 N 13TH AVEOthello, WA 99344-1215
Mailing Address206 N 2100 WSalt Lake City, UT 84116-2927 · (801) 325-0153 · Fax (801) 596-9001
Fax(509) 488-6191
Organization SubpartNo
Authorized OfficialCharles KirtonCeo/chairman · (801) 596-8844
Enumeration DateSeptember 1, 2005
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
NPI 1528052891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · 1359
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
495 N 13TH AVE, Othello, WA 99344

Other Identifiers 1

Medicaid4113593WA

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
495 N 13TH AVE
OTHELLO, WA 99344
Skilled Nursing Facility
495 N 13TH AVE
OTHELLO, WA 99344
Skilled Nursing Facility
495 N 13TH AVE
OTHELLO, WA 99344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Care Center-Othello LLC's NPI number?

The NPI number for Avalon Care Center-Othello LLC is 1528052891. It was assigned to this organization in the NPPES registry on September 1, 2005.

Where is Avalon Care Center-Othello LLC located?

Avalon Care Center-Othello LLC is located at 495 N 13th Ave, Othello, WA 99344. The listed phone number is (509) 488-9609.

What is Avalon Care Center-Othello LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Avalon Care Center-Othello LLC accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Avalon Care Center-Othello LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avalon Care Center-Othello LLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.