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 | 1497453344 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1497453344","entity_type_code":"2"} |
| pac_id | 7113383118 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1497453344","rule":"D-PECOS","enrlmt_id":"O20230517002081","pecos_asct_cntl_id":"7113383118"} |
| pecos_enrlmt_id | O20230517002081 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1497453344","rule":"D-PECOS","enrlmt_id":"O20230517002081"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | DOVID YITZCHOK KLEINER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"38","association_date":"12/01/2022","percentage_ownership":10.7} evidence: {"rule":"D-OWNER","owner_pac":"0143628362","source_pk":236543,"type_owner":"I","enrollment_id":"O20230517002081","role_code_owner":"38","role_text_owner":"GENERAL PARTNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.7,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | DKYH MISSOURI LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/2022","percentage_ownership":10.1} evidence: {"rule":"D-OWNER","owner_pac":"1153729371","source_pk":236544,"type_owner":"O","enrollment_id":"O20230517002081","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.1,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | SLOANS LAKE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/2022","percentage_ownership":63.33} evidence: {"rule":"D-OWNER","owner_pac":"4880092006","source_pk":236545,"type_owner":"O","enrollment_id":"O20230517002081","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":63.33,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | BLUE SKY BASIN LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/2022","percentage_ownership":66.67} evidence: {"rule":"D-OWNER","owner_pac":"4981002102","source_pk":236546,"type_owner":"O","enrollment_id":"O20230517002081","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":66.67,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | BERNARD DAVID PERLOW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608274824","source_pk":236547,"type_owner":"I","enrollment_id":"O20230517002081","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | ELIOT BERGER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012292329","source_pk":236548,"type_owner":"I","enrollment_id":"O20230517002081","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | ADRIANE WYMORE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012374432","source_pk":236549,"type_owner":"I","enrollment_id":"O20230517002081","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NODAWAY HEALTHCARE LLC"} |
| ← owns | GATEWAY MO2 LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/01/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8022475433","source_pk":236550,"type_owner":"O","enrollment_id":"O20230517002081","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":"NODAWAY HEALTHCARE LLC"} |
| ← owns | DKDP MISSOURI LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/2022","percentage_ownership":23.23} evidence: {"rule":"D-OWNER","owner_pac":"8426456641","source_pk":236551,"type_owner":"O","enrollment_id":"O20230517002081","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":23.23,"enrollment_organization_name":"NODAWAY 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 · 1497453344 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 | 2023-02-20 | 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 | NODAWAY 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 | MO | 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 | 313M00000X | 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 1497453344: 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=…