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 | 1760903157 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1760903157","entity_type_code":"2"} |
| pac_id | 1355352345 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1760903157","rule":"D-PECOS","enrlmt_id":"O20170906001415","pecos_asct_cntl_id":"1355352345"} |
| pecos_enrlmt_id | O20170906001415 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1760903157","rule":"D-PECOS","enrlmt_id":"O20170906001415"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | HEATHER KING | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/30/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244713360","source_pk":171803,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | MARK ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"0345723466","source_pk":171804,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | MARK ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/06/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648187518","source_pk":171805,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | STEVEN SCHULZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"0941222525","source_pk":171808,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/01/2014","percentage_ownership":52} evidence: {"rule":"D-OWNER","owner_pac":"0941476105","source_pk":171809,"type_owner":"O","enrollment_id":"O20170906001415","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":52,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | SHANE KOEPKE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"1153804273","source_pk":171810,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | CAMILLA KOLKER-SPARKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"2062995186","source_pk":171811,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | MARK LIGHT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"2163905282","source_pk":171812,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | JUDY FRUEHBRODT-GLENZINSKI (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567591647","source_pk":171813,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | RICHARD LOBERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4981187002","source_pk":171815,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | JAMES MUNYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"5890278915","source_pk":171816,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | CERTUS ALBERT LEA MANAGEMENT LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618450735","source_pk":171817,"type_owner":"O","enrollment_id":"O20170906001415","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | JOHN HOLT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"8123203395","source_pk":171819,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | BRENDA WICHMANN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2025","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"8426531542","source_pk":171820,"type_owner":"I","enrollment_id":"O20170906001415","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
| ← owns | CITY OF HAYWARD MINNESOTA (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/01/2014","percentage_ownership":48} evidence: {"rule":"D-OWNER","owner_pac":"9032483649","source_pk":171821,"type_owner":"O","enrollment_id":"O20170906001415","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":48,"enrollment_organization_name":"ST JOHNS LUTHERAN HOME"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1760903157 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 | 2017-07-06 | 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 | ST. JOHN'S LUTHERAN HOME | 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 |
| parent_org_lbn | ST. JOHN'S LUTHERAN HOME | 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 | MN | 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 1760903157: 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=…