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 | 1902568322 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1902568322","entity_type_code":"2"} |
| pecos_enrlmt_id | O20230601001373 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1902568322","rule":"D-PECOS","enrlmt_id":"O20230601001373"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | KATHLEEN HAGERTY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1254792898","source_pk":237723,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | DOMENICA WEHMANN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2062640212","source_pk":237724,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | MARGERY PABST-STEINMETZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2365803905","source_pk":237725,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | WARREN BLOOM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"2567823107","source_pk":237726,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | CCRC DEVELOPMENT CORPORATION (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"04/17/2023","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2961869292","source_pk":237727,"type_owner":"O","enrollment_id":"O20230601001373","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":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | ADRIENNE FRAME | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"3173984713","source_pk":237728,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | KEVIN SMAAGE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"3779662499","source_pk":237729,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | GMSC FLORIDA LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/01/2020","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4587021829","source_pk":237730,"type_owner":"O","enrollment_id":"O20230601001373","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | ALBERT FRANCIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4789041021","source_pk":237731,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | PHILLIP M ANDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"5991844797","source_pk":237732,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | RUSSELL BOWERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103287743","source_pk":237733,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | TERRY BANGS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406882455","source_pk":237734,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | ROBERT RIGEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6800051400","source_pk":237735,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | YOUCHENG WANG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6800257445","source_pk":237736,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | U.S. BANK (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/01/2019","percentage_ownership":77.92} evidence: {"rule":"D-OWNER","owner_pac":"8123485463","source_pk":237737,"type_owner":"O","enrollment_id":"O20230601001373","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":77.92,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | ANTHONY LIGHTMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8729449368","source_pk":237738,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | BARRY GOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8820459464","source_pk":237739,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
| ← owns | MARY SOLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/17/2023","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9537520176","source_pk":237740,"type_owner":"I","enrollment_id":"O20230601001373","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CCRC DEVELOPMENT CORPORATION"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1902568322 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2021-10-13 | 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 | CCRC DEVELOPMENT CORPORATION | 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 | FL | 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 1902568322: 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=…