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 | 1891700761 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1891700761","entity_type_code":"2"} |
| pecos_enrlmt_id | O20050516000062 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1891700761","rule":"D-PECOS","enrlmt_id":"O20050516000062"} |
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 0446768337 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446768337","source_pk":28640,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | MIDWEST LAND & INVESTMENT COMPANY (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840707139","source_pk":28641,"type_owner":"O","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 1456869346 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456869346","source_pk":28642,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | PHOENIX REHAB LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/29/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759898042","source_pk":28643,"type_owner":"O","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | TERRY HERMANCE (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/22/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951315498","source_pk":28644,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | CATHY YOUNG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/24/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163474768","source_pk":28646,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 2264940154 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/04/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264940154","source_pk":28648,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | JUDY JAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/05/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365772159","source_pk":28649,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 3173031069 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/09/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173031069","source_pk":28651,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 3274041165 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/07/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274041165","source_pk":28652,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 4082122973 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4082122973","source_pk":28653,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 4183132079 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/30/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183132079","source_pk":28654,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 4284142175 (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284142175","source_pk":28655,"type_owner":"O","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | SHANNA FLOYD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/14/2010","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587767264","source_pk":28656,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 5092223982 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/03/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092223982","source_pk":28658,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 5991213886 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/14/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991213886","source_pk":28659,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | PHOENIX HEALTHCARE LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"09/29/2004","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6507818242","source_pk":28660,"type_owner":"O","enrollment_id":"O20050516000062","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":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 6901314897 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/19/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901314897","source_pk":28663,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | FORVIS MAZARS LLP (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/14/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416866603","source_pk":28664,"type_owner":"O","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 7719495605 | 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":"7719495605","source_pk":28666,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | HEATHER MOXLEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810405701","source_pk":28667,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 8123536018 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123536018","source_pk":28668,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | LARRY CAIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"09/29/2004","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8224080965","source_pk":28669,"type_owner":"I","enrollment_id":"O20050516000062","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":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 8527576412 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/12/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527576412","source_pk":28670,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 8628586518 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/13/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628586518","source_pk":28671,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 9537677422 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/06/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537677422","source_pk":28672,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
| ← owns | OWNER PAC 9638687528 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638687528","source_pk":28673,"type_owner":"I","enrollment_id":"O20050516000062","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHOENIX HEALTHCARE LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1891700761 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 | 2006-07-29 | 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 | PHOENIX HEALTHCARE 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 | OK | 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 1891700761: 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=…