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 | 1669469755 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1669469755","entity_type_code":"2"} |
| pac_id | 7113014960 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1669469755","rule":"D-PECOS","enrlmt_id":"O20071026000206","pecos_asct_cntl_id":"7113014960"} |
| pecos_enrlmt_id | O20071026000206 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1669469755","rule":"D-PECOS","enrlmt_id":"O20071026000206"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | PHILIP M. GREEN REVOCABLE TRUST (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/12/2025","percentage_ownership":25} evidence: {"rule":"D-OWNER","owner_pac":"0042746356","source_pk":58823,"type_owner":"O","enrollment_id":"O20071026000206","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":25,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | MARCINDA MITCHELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/06/2021","percentage_ownership":9.38} evidence: {"rule":"D-OWNER","owner_pac":"0143288050","source_pk":58825,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.38,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | JACK BROWN (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143381293","source_pk":58827,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | ROBERT MITCHELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/06/2021","percentage_ownership":9.28} evidence: {"rule":"D-OWNER","owner_pac":"0749245447","source_pk":58829,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.28,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | KATHY GULLY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/10/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658858832","source_pk":58831,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | RANDY BLALOCK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/05/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567949746","source_pk":58832,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | JODI M COATNEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668384454","source_pk":58833,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | ANGELUS HOLDINGS LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/12/2025","percentage_ownership":12.5} evidence: {"rule":"D-OWNER","owner_pac":"2668959842","source_pk":58835,"type_owner":"O","enrollment_id":"O20071026000206","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":12.5,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | DECEMBER DRYWATER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/31/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476030651","source_pk":58837,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | TIFFANY SEAY EXEMPT TR (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/12/2025","percentage_ownership":13.67} evidence: {"rule":"D-OWNER","owner_pac":"3971039264","source_pk":58838,"type_owner":"O","enrollment_id":"O20071026000206","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":13.67,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | MICHAEL SINKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/17/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385121565","source_pk":58840,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | JACI PITTS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/09/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385171883","source_pk":58841,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | SANDRA TAYLOR | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/21/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981879004","source_pk":58842,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | MIRANDA BELT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/09/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294262796","source_pk":58843,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | LENA COOPER-KROPS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204313489","source_pk":58844,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | BGM ESTATE LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"11/01/2012","percentage_ownership":37.5} evidence: {"rule":"D-OWNER","owner_pac":"6608159512","source_pk":58845,"type_owner":"O","enrollment_id":"O20071026000206","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":37.5,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | JANA HUNT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/28/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921585100","source_pk":58846,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | KELLY O MITCHELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/06/2021","percentage_ownership":9.38} evidence: {"rule":"D-OWNER","owner_pac":"9032190400","source_pk":58847,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.38,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | ANGELA TABOR | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/06/2021","percentage_ownership":9.38} evidence: {"rule":"D-OWNER","owner_pac":"9234197146","source_pk":58849,"type_owner":"I","enrollment_id":"O20071026000206","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.38,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
| ← owns | PHILIP MARION GREEN EXEMPT TR CU GILBERT F GREEN TR (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/12/2025","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"9739554858","source_pk":58851,"type_owner":"O","enrollment_id":"O20071026000206","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"COLONIAL TERRACE NURSING CARE CENTER LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1669469755 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 | 2005-10-04 | 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 | COLONIAL TERRACE NURSING CARE CENTER 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 | OK | 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 1669469755: 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=…