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 | 1992354666 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1992354666","entity_type_code":"2"} |
| pac_id | 9133555386 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1992354666","rule":"D-PECOS","enrlmt_id":"O20200206000236","pecos_asct_cntl_id":"9133555386"} |
| pecos_enrlmt_id | O20200206000236 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1992354666","rule":"D-PECOS","enrlmt_id":"O20200206000236"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | MARK T MEYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/05/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274441639","source_pk":199108,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | MARK A PEDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2023","percentage_ownership":33} evidence: {"rule":"D-OWNER","owner_pac":"3274567094","source_pk":199110,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | BENJAMIN L EDDY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870819642","source_pk":199111,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | JONATHAN DAVID FLETCHER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"4789194366","source_pk":199113,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | PHS MANAGEMENT, LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/11/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193901049","source_pk":199117,"type_owner":"O","enrollment_id":"O20200206000236","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | HEIDI A PETERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2023","percentage_ownership":33} evidence: {"rule":"D-OWNER","owner_pac":"5698285278","source_pk":199119,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/05/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618996059","source_pk":199122,"type_owner":"O","enrollment_id":"O20200206000236","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | EYAD KAKISH (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628976214","source_pk":199123,"type_owner":"I","enrollment_id":"O20200206000236","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
| ← owns | US BANK NATIONAL ASSOCIATION (NC) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"08/01/2018","percentage_ownership":75} evidence: {"rule":"D-OWNER","owner_pac":"9133208028","source_pk":199125,"type_owner":"O","enrollment_id":"O20200206000236","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":75,"enrollment_organization_name":"PHS COUNCIL BLUFFS INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1992354666 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2019-09-05 | 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 | PHS COUNCIL BLUFFS, INC | 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 1992354666: 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=…