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 | 1902049638 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1902049638","entity_type_code":"2"} |
| pecos_enrlmt_id | O20090716000225 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1902049638","rule":"D-PECOS","enrlmt_id":"O20090716000225"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | RYAN J GRACE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"04/01/2022","percentage_ownership":51} evidence: {"rule":"D-OWNER","owner_pac":"0446302293","source_pk":79775,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":51,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 0941703391 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941703391","source_pk":79780,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | DIANE WALTERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/02/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062915424","source_pk":79781,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 2769985126 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769985126","source_pk":79783,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 2961905328 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961905328","source_pk":79784,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | QS HEALTHCARE (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577066927","source_pk":79785,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 3678076023 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678076023","source_pk":79786,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 3870096233 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870096233","source_pk":79787,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 4587167937 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587167937","source_pk":79788,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 4789187147 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789187147","source_pk":79789,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | GRACE TEAM LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2017","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5395018774","source_pk":79790,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 5698278059 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698278059","source_pk":79792,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 6204339658 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204339658","source_pk":79793,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 6507369964 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507369964","source_pk":79794,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 7012410467 (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012410467","source_pk":79795,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 7315440773 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315440773","source_pk":79796,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | JASON CHENEY (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719051911","source_pk":79797,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | ERIC J HUEBERT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"04/01/2022","percentage_ownership":49} evidence: {"rule":"D-OWNER","owner_pac":"8426351404","source_pk":79799,"type_owner":"I","enrollment_id":"O20090716000225","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":49,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | GT SERVICES LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921501370","source_pk":79804,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | OWNER PAC 9032612486 (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032612486","source_pk":79805,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
| ← owns | LINCOLN PARK MANOR INC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/23/2017","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9638221054","source_pk":79806,"type_owner":"O","enrollment_id":"O20090716000225","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LINCOLN PARK MANOR INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1902049638 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2009-04-10 | 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 | LINCOLN PARK MANOR, 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 | KS | 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 1902049638: 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=…