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 | 1841235454 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1841235454","entity_type_code":"2"} |
| pac_id | 6901901537 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1841235454","rule":"D-PECOS","enrlmt_id":"O20070410000450","pecos_asct_cntl_id":"6901901537"} |
| pecos_enrlmt_id | O20070410000450 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1841235454","rule":"D-PECOS","enrlmt_id":"O20070410000450"} |
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 0143729145 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143729145","source_pk":47740,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | PAUL A CABLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/14/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345150272","source_pk":47741,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 1052810058 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052810058","source_pk":47742,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | RALPH WARNOCK (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/23/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355490038","source_pk":47743,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | RONNIE D ROLLINS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/14/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163332099","source_pk":47744,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | HEATHER FIELDS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163921164","source_pk":47745,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | ELDERCARE PHARMACY (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668971664","source_pk":47746,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 2961901962 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961901962","source_pk":47747,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | GA MEDGROUP (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577062579","source_pk":47748,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 3870092877 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870092877","source_pk":47749,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | TIFFANY PEAVY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385977438","source_pk":47750,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | ETHICA REHABILITATION (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486153483","source_pk":47752,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 4789183781 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789183781","source_pk":47753,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | MAULIKKUMAR A PATEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092018390","source_pk":47754,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | KATHRYN DENNIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"11/17/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395065262","source_pk":47756,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 5395244396 (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395244396","source_pk":47757,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | TIFFANY HOOKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/09/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608059134","source_pk":47758,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | OWNER PAC 7012416019 (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012416019","source_pk":47760,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | CLINICAL SERVICES INC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/25/2005","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7416859426","source_pk":47761,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | COMMUNITY HEALTH SYSTEMS INC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/25/2005","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7416867346","source_pk":47763,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | HEALTH SCHOLARSHIPS INC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"11/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7618887548","source_pk":47764,"type_owner":"O","enrollment_id":"O20070410000450","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | JOSEPH A WALL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"03/14/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436069366","source_pk":47765,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
| ← owns | JOSEPH NICHOLS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"11/19/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638694193","source_pk":47766,"type_owner":"I","enrollment_id":"O20070410000450","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVANS COUNTY LTC LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1841235454 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 | 2006-06-18 | 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 | EVANS COUNTY LTC 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 | GA | 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 1841235454: 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=…