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 | 1285405274 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1285405274","entity_type_code":"2"} |
| pecos_enrlmt_id | O20240607002486 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1285405274","rule":"D-PECOS","enrlmt_id":"O20240607002486"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | CARVAJAL PHARMACY LTC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840601035","source_pk":254849,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | LYNNEA CASTILLO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355609017","source_pk":254850,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | ROSA HINOJOSA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355833435","source_pk":254852,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | THE BRYON AND RENA SEHLKE LIVING TRUST (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951813377","source_pk":254854,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | PLANTE & MORAN PLLC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062936453","source_pk":254855,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | NUTRITIOUS LIFESTYLES, INC. (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365968666","source_pk":254856,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | FROST BANK (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"02/15/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971578238","source_pk":254857,"type_owner":"O","enrollment_id":"O20240607002486","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":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | OWNER PAC 4880186964 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/20/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880186964","source_pk":254858,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | TOUCHSTONE REALTY - PENITAS LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294227377","source_pk":254859,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | DARRELL D ZUROVEC | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395652259","source_pk":254860,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | CYNTHIA GILCREASE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496835415","source_pk":254862,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | TOUCHSTONE COMMUNITIES INC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698862076","source_pk":254864,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | OWNER PAC 6204328388 (TX) | 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":"6204328388","source_pk":254865,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | AEGIS THERAPIES, INC. (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204746860","source_pk":254866,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | BRYON SEHLKE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608171277","source_pk":254867,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | LESLIE D CAMPBELL | 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":"6608870357","source_pk":254869,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | JORGE JURADO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/26/2024","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7517409303","source_pk":254871,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | VAL VERDE COUNTY HOSPITAL DISTRICT (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"03/01/2024","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8325176019","source_pk":254872,"type_owner":"O","enrollment_id":"O20240607002486","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":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | ERNEST C FELLBAUM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628985488","source_pk":254873,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | TRIDENT HEALTH SERVICES INC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8729253752","source_pk":254874,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | STANLEY S STUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537076393","source_pk":254875,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | YVONNE OLIVAREZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/06/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9739337148","source_pk":254876,"type_owner":"I","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
| ← owns | TOUCHSTONE STRATEGIES - PENITAS, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2024","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9739598525","source_pk":254878,"type_owner":"O","enrollment_id":"O20240607002486","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"VAL VERDE COUNTY HOSPITAL DISTRICT"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1285405274 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2024-01-10 | 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 | VAL VERDE COUNTY HOSPITAL DISTRICT | 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 | TX | 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 1285405274: 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=…