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 | 1609895911 | nppes_providers | deterministic_pk | 1.000 | 2026-06-11 | evidencerecorded: 2026-06-11 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1609895911","entity_type_code":"1"} |
| pac_id | 3375584931 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20050513000647","pecos_asct_cntl_id":"3375584931"} |
| pecos_enrlmt_id | I20061005000212 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20061005000212"} |
| pecos_enrlmt_id | I20200427000150 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-15 | evidencerecorded: 2026-06-15 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20200427000150"} |
| pecos_enrlmt_id | I20210205002129 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-15 | evidencerecorded: 2026-06-15 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20210205002129"} |
| pecos_enrlmt_id | I20210311001082 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-15 | evidencerecorded: 2026-06-15 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20210311001082"} |
| pecos_enrlmt_id | I20220308001794 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20220308001794"} |
| pecos_enrlmt_id | I20230131002966 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20230131002966"} |
| pecos_enrlmt_id | I20231129003234 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20231129003234"} |
| pecos_enrlmt_id | I20050513000647 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1609895911","rule":"D-PECOS","enrlmt_id":"I20050513000647"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| owns → | JONESBORO CARE AND REHABILITATION CENTER, LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/28/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375584931","source_pk":4744,"type_owner":"I","enrollment_id":"O20030508000055","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"JONESBORO CARE AND REHABILITATION CENTER, LLC"} |
| owns → | CHC HERITAGE SQUARE NURSING CENTER, LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375584931","source_pk":185472,"type_owner":"I","enrollment_id":"O20181113002029","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CHC HERITAGE SQUARE NURSING CENTER, LLC"} |
| owns → | CHC MANILA NURSING CENTER, LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375584931","source_pk":185958,"type_owner":"I","enrollment_id":"O20181128000475","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CHC MANILA NURSING CENTER LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1609895911 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| credential | DO | 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 | 2006-07-18 | 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 |
| first_name | MARK | 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 |
| last_name | HAHN | 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 | AR | 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 | 207Q00000X | 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 |
| years_active | 19 years | 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 1609895911: 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
On fileOn the CMS Order and Referring roster — eligible to order and refer in 5 of 5 Medicare benefit categories.
- Part B: Y
- DME: Y
- HHA: Y
- PMD: Y
- Hospice: Y
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 file8 Medicare enrollment records 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=…