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 | 1295752236 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1295752236","entity_type_code":"2"} |
| pac_id | 3678668183 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1295752236","rule":"D-PECOS","enrlmt_id":"O20070928000441","pecos_asct_cntl_id":"3678668183"} |
| pecos_enrlmt_id | O20070928000441 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1295752236","rule":"D-PECOS","enrlmt_id":"O20070928000441"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | OWNER PAC 0143720466 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143720466","source_pk":57585,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | AVAMERE SKILLED ADVISORS LLC (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244551661","source_pk":57586,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | NANCY ADAMS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244748903","source_pk":57588,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 0345740668 (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345740668","source_pk":57590,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | SHANNON FREEMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547481624","source_pk":57591,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 1153821475 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153821475","source_pk":57593,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | HEATHERANN GILES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153821483","source_pk":57594,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | MICHELLE FUNDERBERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153839816","source_pk":57596,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 1254831571 (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254831571","source_pk":57598,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | KARL RICKARD MILLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"11/30/2000","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"1355250598","source_pk":57599,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 1355841677 (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355841677","source_pk":57600,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 1456851773 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/17/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456851773","source_pk":57601,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | TASHINA GOETTEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951769900","source_pk":57602,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | ARI OPERATIONS, LLC (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/06/2006","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2163694282","source_pk":57604,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | JENNIFER DANA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264940931","source_pk":57605,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | ANDREW SIMPSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769927185","source_pk":57607,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | MIDCAP FINCO LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"01/22/2010","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2961915988","source_pk":57610,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 3072013390 (NC) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072013390","source_pk":57612,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | GLEN ROBERT CAVALLO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072421676","source_pk":57613,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | ARISO LLC (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/06/2006","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3072616960","source_pk":57615,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 3274033592 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/17/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274033592","source_pk":57616,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | CAROLYN STAPLES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/05/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476053711","source_pk":57617,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | AVAMERE HEALTH SERVICES LLC (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971635988","source_pk":57618,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 4183124407 (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183124407","source_pk":57620,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | DAVID LARSON (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688608565","source_pk":57621,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | IKE OKOLI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789025479","source_pk":57623,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | TODD INSKEEP | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789192444","source_pk":57625,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 4981104205 (WA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981104205","source_pk":57627,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | BRETT HEREFORD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/16/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294235537","source_pk":57628,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | COLBY STRUNK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395253058","source_pk":57629,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | JUSTIN POLSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496056632","source_pk":57631,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 6002316320 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/17/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002316320","source_pk":57633,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | KIM GAMES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/15/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103326442","source_pk":57634,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | MICHELE POWELSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/25/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305354069","source_pk":57635,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | AVAMERE GROUP LLC (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/06/2006","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6507865482","source_pk":57638,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | TONIA CLARK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/19/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709272743","source_pk":57639,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | JULIE DAVIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709386030","source_pk":57641,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | MARY KOFSTAD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/13/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800962614","source_pk":57642,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | YOLANDA PRESLEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/06/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113435876","source_pk":57645,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | JOLYNN MUNRO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214445972","source_pk":57647,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 7416457734 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416457734","source_pk":57650,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | CODY FEAKIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/15/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810239688","source_pk":57651,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | MISTY DAWN REID | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/02/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911314299","source_pk":57654,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | AMANDA SANDERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224569199","source_pk":57657,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | KEVIN HILL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325556087","source_pk":57659,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | COREMEDICAL GROUP (NH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426558743","source_pk":57661,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | ANDREA DOEPKER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/28/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426558750","source_pk":57662,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 8729588041 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/17/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8729588041","source_pk":57664,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | OWNER PAC 9234639550 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234639550","source_pk":57665,"type_owner":"O","enrollment_id":"O20070928000441","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
| ← owns | CARRIE VANDERZANDEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830607597","source_pk":57666,"type_owner":"I","enrollment_id":"O20070928000441","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"KING CITY REHAB, LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1295752236 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 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 |
| enumeration_date | 2006-07-16 | 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 | KING CITY REHAB, 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 | OR | 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 1295752236: 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=…