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 | 1316322704 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1316322704","entity_type_code":"2"} |
| pac_id | 8729393806 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1316322704","rule":"D-PECOS","enrlmt_id":"O20150819006326","pecos_asct_cntl_id":"8729393806"} |
| pecos_enrlmt_id | O20150819006326 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1316322704","rule":"D-PECOS","enrlmt_id":"O20150819006326"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | POKY FEEDERS INC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":6.19} evidence: {"rule":"D-OWNER","owner_pac":"0042487142","source_pk":151421,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.19,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | OWNER PAC 0042722449 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042722449","source_pk":151422,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | GRANT DOOLITTLE (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345341434","source_pk":151423,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | STEVEN M HOWARD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":11.26} evidence: {"rule":"D-OWNER","owner_pac":"0648351148","source_pk":151425,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.26,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | MCFARLAND CLINIC PC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254244239","source_pk":151426,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | KAYLA S ZELLMER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072908359","source_pk":151427,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | WAYNE C ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":6.46} evidence: {"rule":"D-OWNER","owner_pac":"3173431707","source_pk":151429,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.46,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | PIVOTAL HEALTH CARE LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3375718075","source_pk":151430,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | SCOTT E GULLEDGE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2015","percentage_ownership":75} evidence: {"rule":"D-OWNER","owner_pac":"3870402357","source_pk":151432,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":75,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | SCENIC HOLDINGS LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/31/2018","percentage_ownership":76.74} evidence: {"rule":"D-OWNER","owner_pac":"4082951249","source_pk":151435,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":76.74,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | CADET INVESTMENT LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":11.11} evidence: {"rule":"D-OWNER","owner_pac":"4284809989","source_pk":151436,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.11,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | 5 R CATTLE, LLC (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":6.19} evidence: {"rule":"D-OWNER","owner_pac":"5698287092","source_pk":151437,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.19,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | MARLENE A ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":6.46} evidence: {"rule":"D-OWNER","owner_pac":"5991613523","source_pk":151438,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.46,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | WSG LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":17.45} evidence: {"rule":"D-OWNER","owner_pac":"5991972002","source_pk":151439,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.45,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | POKY - 5R LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"12/31/2018","percentage_ownership":12.37} evidence: {"rule":"D-OWNER","owner_pac":"6002081700","source_pk":151440,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":12.37,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | LMRAY, LLC (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2015","percentage_ownership":6.19} evidence: {"rule":"D-OWNER","owner_pac":"6507378908","source_pk":151441,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.19,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | GILBERT R WOOD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800704438","source_pk":151442,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | TRAVIS S GULLEDGE | 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":"6901338334","source_pk":151444,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | SUMMIT CARE, LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315073954","source_pk":151447,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | 3RK, LLC (CO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2021","percentage_ownership":6.17} evidence: {"rule":"D-OWNER","owner_pac":"7315459716","source_pk":151448,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.17,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | JORDAN R ANDERSON | 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":"7618358771","source_pk":151449,"type_owner":"I","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | SCENIC DEVELOPMENT LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810162518","source_pk":151451,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | OWNER PAC 8224540620 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224540620","source_pk":151453,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
| ← owns | OWNER PAC 9133631534 (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133631534","source_pk":151454,"type_owner":"O","enrollment_id":"O20150819006326","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF AMES LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1316322704 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 | 2015-07-27 | 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 | CCRC OF AMES 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 | IA | 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 1316322704: 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=…