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 | 1073501896 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1073501896","entity_type_code":"2"} |
| pecos_enrlmt_id | O20040421001485 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1073501896","rule":"D-PECOS","enrlmt_id":"O20040421001485"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | ASHLEY ELIZABETH FORD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0345463709","source_pk":16658,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | RUTH ANN NEIMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0941692149","source_pk":16659,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | CHRISTINA KOTZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"08/01/2018","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1557611407","source_pk":16660,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | STEVEN C VANOSTRAM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1759525843","source_pk":16661,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | BRUCE K VAN DER BEEK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1850783051","source_pk":16662,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | JAMES LEE JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2163645524","source_pk":16663,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | ROGER ALLAN DAVIDSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2668491713","source_pk":16664,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | MARSHALL PETERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2668616756","source_pk":16665,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | RYAN ALLEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103060298","source_pk":16666,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | ANNE S WAGONER FORD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/01/2018","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103149521","source_pk":16667,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | DOROTHY JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103180377","source_pk":16668,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | BRUCE RANDOLPH WHITAKER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6901031921","source_pk":16669,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | STEPHANIE NICOLE VAUGHN-GRAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"7517295785","source_pk":16670,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | AMERICAN BAPTIST HOMES OF THE MIDWEST (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/19/2010","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8426966953","source_pk":16671,"type_owner":"O","enrollment_id":"O20040421001485","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":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | GEORGE EDWARD KILLIAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/01/2018","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8820352099","source_pk":16672,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | PHILLIP HANSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2013","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8921242017","source_pk":16673,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | LARS P JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/05/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9638513369","source_pk":16674,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
| ← owns | ANDREA BLATNIK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2012","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9739323825","source_pk":16675,"type_owner":"I","enrollment_id":"O20040421001485","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"AMERICAN BAPTIST HOMES OF THE MIDWEST"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1073501896 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 | 2005-10-06 | 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 | AMERICAN BAPTIST HOMES OF THE MIDWEST | 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 | NE | 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 1073501896: 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=…