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 | 1255817862 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1255817862","entity_type_code":"2"} |
| pac_id | 6204180771 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1255817862","rule":"D-PECOS","enrlmt_id":"O20181120000457","pecos_asct_cntl_id":"6204180771"} |
| pecos_enrlmt_id | O20181120000457 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1255817862","rule":"D-PECOS","enrlmt_id":"O20181120000457"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | KEVIN DAUBENMIRE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":25} evidence: {"rule":"D-OWNER","owner_pac":"0244241750","source_pk":185704,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":25,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 0749793123 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/20/2018","percentage_ownership":1.14} evidence: {"rule":"D-OWNER","owner_pac":"0749793123","source_pk":185707,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.14,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 1052828001 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/16/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052828001","source_pk":185708,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | BENJAMIN SHKOP | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":11.25} evidence: {"rule":"D-OWNER","owner_pac":"1153512165","source_pk":185709,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.25,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | MRS FAMILY TRUST (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":14.41} evidence: {"rule":"D-OWNER","owner_pac":"1557615382","source_pk":185710,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.41,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | MEIR SINGER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"11/05/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577607357","source_pk":185713,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | JEFFREY DONOHOO (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/1985","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870637994","source_pk":185716,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 4284141243 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/20/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284141243","source_pk":185718,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | CROWN I TBD HOLDCO LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/09/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4385157775","source_pk":185719,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | MDATAS TRUST (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":15.17} evidence: {"rule":"D-OWNER","owner_pac":"5193079929","source_pk":185720,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":15.17,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | CROWN OHIO HOLDCO INC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"09/20/2018","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5991059719","source_pk":185723,"type_owner":"O","enrollment_id":"O20181120000457","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":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 6305353368 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305353368","source_pk":185724,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 6507373560 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507373560","source_pk":185725,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | FEJCC TRUST (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":14.41} evidence: {"rule":"D-OWNER","owner_pac":"6901150739","source_pk":185726,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.41,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | CAPITAL FINANCE LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"09/20/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123282514","source_pk":185730,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 8527575570 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/20/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527575570","source_pk":185732,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | GREGORY STOUT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/10/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8729405154","source_pk":185733,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 8820507502 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"71","association_date":"09/20/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820507502","source_pk":185735,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"71","role_text_owner":"TRUSTEE OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | OWNER PAC 8921515982 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921515982","source_pk":185736,"type_owner":"O","enrollment_id":"O20181120000457","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
| ← owns | MOSHE WEINTRAUB | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/20/2018","percentage_ownership":7} evidence: {"rule":"D-OWNER","owner_pac":"9436403268","source_pk":185737,"type_owner":"I","enrollment_id":"O20181120000457","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7,"enrollment_organization_name":"VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1255817862 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2018-07-17 | 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 | VILLA GEORGETOWN REHABILITATION AND HEALTHCARE CENTER 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 | OH | 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 1255817862: 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=…