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 | 1124698816 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1124698816","entity_type_code":"2"} |
| pac_id | 5395143259 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1124698816","rule":"D-PECOS","enrlmt_id":"O20211006002279","pecos_asct_cntl_id":"5395143259"} |
| pecos_enrlmt_id | O20211006002279 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1124698816","rule":"D-PECOS","enrlmt_id":"O20211006002279"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | SHAWN KUHN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/17/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648761619","source_pk":214360,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | ADAM A DESMOND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941613830","source_pk":214362,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | JAMIE TROST | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/08/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850877911","source_pk":214365,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | SELECTIS MANAGEMENT LLC (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365855939","source_pk":214367,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | MICHELLE HAHNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/13/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769968825","source_pk":214369,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | NOVETTA SMALL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/15/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678059730","source_pk":214371,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | LANCE BALLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688935638","source_pk":214373,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | KERON CAMPBELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/19/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789116179","source_pk":214375,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | MICHAEL PEACOCK (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981773108","source_pk":214377,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | OWNER PAC 5496231458 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496231458","source_pk":214379,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | OWNER PAC 6608352661 (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608352661","source_pk":214380,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | OWNER PAC 6709362767 (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709362767","source_pk":214381,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | MOHAMED OTHMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416198940","source_pk":214382,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | SELECTIS HEALTH INC (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/21/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7416218466","source_pk":214384,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | PHARMERICA (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416433479","source_pk":214386,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | KRYSTAL D ECKHART | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/21/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022445816","source_pk":214387,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | SARAH DAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/26/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123504289","source_pk":214390,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | OWNER PAC 8325524382 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325524382","source_pk":214393,"type_owner":"O","enrollment_id":"O20211006002279","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | SHERRY MCCORKLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/14/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820589898","source_pk":214394,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
| ← owns | LAURA FERGUSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/12/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9739670704","source_pk":214396,"type_owner":"I","enrollment_id":"O20211006002279","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SELECTIS WARRENTON LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1124698816 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2021-06-25 | 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 | SELECTIS WARRENTON 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 | GA | 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 1124698816: 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=…