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 | 1043921091 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1043921091","entity_type_code":"2"} |
| pac_id | 2365813672 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1043921091","rule":"D-PECOS","enrlmt_id":"O20230125000610","pecos_asct_cntl_id":"2365813672"} |
| pecos_enrlmt_id | O20230125000610 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1043921091","rule":"D-PECOS","enrlmt_id":"O20230125000610"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | ESDOV INVESTMENTS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345777801","source_pk":230787,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | FIRST SWEETZER HOLDINGS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254868714","source_pk":230788,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | SASEM INVESTMENTS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/12/2022","percentage_ownership":2.58} evidence: {"rule":"D-OWNER","owner_pac":"3072040534","source_pk":230790,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.58,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | EL DORADO NURSING AND REHABILITATION LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/12/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3274904511","source_pk":230791,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | OZARK HEALTHCARE REALTY LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/12/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3476071234","source_pk":230792,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | MONTGOMERY SKY TRUST (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/12/2022","percentage_ownership":99} evidence: {"rule":"D-OWNER","owner_pac":"3971933110","source_pk":230794,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":99,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | EMERALD PROPERTY PARTNERS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/12/2022","percentage_ownership":97} evidence: {"rule":"D-OWNER","owner_pac":"4385162148","source_pk":230796,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":97,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | KAYATANA SANDERS | 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":"4486155942","source_pk":230798,"type_owner":"I","enrollment_id":"O20230125000610","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | RIMPAU HOLDINGS TRUST (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/12/2022","percentage_ownership":34.1} evidence: {"rule":"D-OWNER","owner_pac":"4880024025","source_pk":230800,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":34.1,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | CRESTVIEW TRUST (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/12/2022","percentage_ownership":63.33} evidence: {"rule":"D-OWNER","owner_pac":"5092186338","source_pk":230801,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":63.33,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | CALIBER ADVISORS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/22/2022","percentage_ownership":97} evidence: {"rule":"D-OWNER","owner_pac":"5294100517","source_pk":230802,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":97,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | JUBILEE MASTER HOLDINGS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103344965","source_pk":230803,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | HATTERAS INVESTMENTS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911425772","source_pk":230804,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | GIBRALTAR TRUST (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/12/2022","percentage_ownership":20} evidence: {"rule":"D-OWNER","owner_pac":"8224568811","source_pk":230806,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | DAVID GARETZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527498997","source_pk":230808,"type_owner":"I","enrollment_id":"O20230125000610","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | SRINATH TADAKAMALLA (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/12/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921094624","source_pk":230809,"type_owner":"I","enrollment_id":"O20230125000610","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"10425 OPCO LLC"} |
| ← owns | 10425 CHESTNUT DRIVE MO, LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/12/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9830690387","source_pk":230811,"type_owner":"O","enrollment_id":"O20230125000610","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"10425 OPCO LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1043921091 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2022-12-12 | 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 | 10425 OPCO 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 | 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 1043921091: 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=…