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 | 1780450924 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1780450924","entity_type_code":"2"} |
| pac_id | 4880037985 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1780450924","rule":"D-PECOS","enrlmt_id":"O20240206001407","pecos_asct_cntl_id":"4880037985"} |
| pecos_enrlmt_id | O20240206001407 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1780450924","rule":"D-PECOS","enrlmt_id":"O20240206001407"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | LIFE CARE COMPANIES LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"0446382543","source_pk":249006,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | DANIEL L LAHEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0840541041","source_pk":249007,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | JASON C VICTOR | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/20/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2062776172","source_pk":249008,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | BRIDGETTE C UHLEMANN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466892732","source_pk":249010,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LCS BRANDON WILDE HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"2466898564","source_pk":249011,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | JOHN PULLIAM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/19/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476748328","source_pk":249012,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LIFE CARE SERVICES LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/17/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577472711","source_pk":249013,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LIFE CARE SERVICES COMMUNITIES, LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"4688585078","source_pk":249015,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | GELYNNA SHAW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4880054576","source_pk":249016,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LCS HOLDING COMPANY LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"5294120713","source_pk":249018,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | OAK INVESTMENT TRUST (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":17.78} evidence: {"rule":"D-OWNER","owner_pac":"5698830511","source_pk":249019,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.78,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | MCCARTHY GROUP LLC (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":10.34} evidence: {"rule":"D-OWNER","owner_pac":"6507293917","source_pk":249020,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.34,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | OAK INVESTMENT TRUST II (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2025","percentage_ownership":47.34} evidence: {"rule":"D-OWNER","owner_pac":"6507921426","source_pk":249021,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":47.34,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | JOHN CHRISTOPHER BIRD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/20/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800282542","source_pk":249022,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LCS MANAGEMENT HOLDING COMPANY, LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2025","percentage_ownership":11.11} evidence: {"rule":"D-OWNER","owner_pac":"7416342688","source_pk":249024,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.11,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | MCCARTHY PARTNERS, LLC (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2025","percentage_ownership":0.98} evidence: {"rule":"D-OWNER","owner_pac":"7618407933","source_pk":249025,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.98,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | BANK OF AMERICA CORP (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"01/01/2025","percentage_ownership":59} evidence: {"rule":"D-OWNER","owner_pac":"7719883263","source_pk":249026,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":59,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | RCI LEGACY HOLDINGS LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":74.28} evidence: {"rule":"D-OWNER","owner_pac":"7911392436","source_pk":249028,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":74.28,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | REDWOOD HOLDINGS, LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":74.28} evidence: {"rule":"D-OWNER","owner_pac":"8628215936","source_pk":249029,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":74.28,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | ZECHARIAH LEGENDARY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032596226","source_pk":249030,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | LCS BRANDON WILDE JV LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/20/2023","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9133565104","source_pk":249032,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | FREDERICK MERRILL (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537118617","source_pk":249033,"type_owner":"I","enrollment_id":"O20240206001407","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BRANDON WILDE LLC"} |
| ← owns | MPM SENIOR LIVING INVESTORS LLC (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/20/2023","percentage_ownership":17.78} evidence: {"rule":"D-OWNER","owner_pac":"9739574096","source_pk":249035,"type_owner":"O","enrollment_id":"O20240206001407","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.78,"enrollment_organization_name":"BRANDON WILDE LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1780450924 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2023-11-29 | 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 | BRANDON WILDE 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 1780450924: 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=…