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 | 1124068689 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1124068689","entity_type_code":"2"} |
| pecos_enrlmt_id | O20071008000080 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1124068689","rule":"D-PECOS","enrlmt_id":"O20071008000080"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | STEPHANY GROSSIER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143734467","source_pk":58155,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | TAMI JACKSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/28/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345754503","source_pk":58156,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | MATHEW ULBERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/03/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254845415","source_pk":58158,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | LINDA LARSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456448869","source_pk":58160,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | MICHAEL PHILLIPS (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/07/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456483734","source_pk":58161,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | RANDALL RENNOCK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/12/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062926223","source_pk":58163,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | ANITA REID | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072027382","source_pk":58165,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | OWNER PAC 4082128244 | 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":"4082128244","source_pk":58166,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | ALLY STUART | 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":"4880108042","source_pk":58167,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | AMY K DUHR | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/17/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092001016","source_pk":58168,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | JOANNE ERICKSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092229302","source_pk":58171,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | OWNER PAC 5991219156 | 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":"5991219156","source_pk":58172,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | JAMIE LARSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/29/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204346141","source_pk":58173,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | DAVID LARSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/30/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800112897","source_pk":58176,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | JEFFERY CLINE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/13/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800300062","source_pk":58177,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | RITA LEE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/30/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800300112","source_pk":58179,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | LEADINGCHOICE NETWORK LLC (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901310168","source_pk":58180,"type_owner":"O","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | GRACE LUTHERAN FOUNDATION, INC. (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2000","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113838061","source_pk":58182,"type_owner":"O","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | OWNER PAC 7719491976 (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719491976","source_pk":58184,"type_owner":"O","enrollment_id":"O20071008000080","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | STACEY HAZUGA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/24/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527572783","source_pk":58185,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | NICOLET NATIONAL BANK (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628582889","source_pk":58187,"type_owner":"O","enrollment_id":"O20071008000080","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
| ← owns | MATTHEW P BERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335653658","source_pk":58188,"type_owner":"I","enrollment_id":"O20071008000080","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"AMERICAN LUTHERAN HOMES, INC."} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1124068689 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 | 2006-06-06 | 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 | AMERICAN LUTHERAN HOMES, INC. | 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 | WI | 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 1124068689: 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=…