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 | 1124589544 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1124589544","entity_type_code":"2"} |
| pac_id | 0446593644 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1124589544","rule":"D-PECOS","enrlmt_id":"O20190509001570","pecos_asct_cntl_id":"0446593644"} |
| pecos_enrlmt_id | O20190509001570 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1124589544","rule":"D-PECOS","enrlmt_id":"O20190509001570"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | DOUGLAS B BOULWARE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"04/01/2019","percentage_ownership":33.34} evidence: {"rule":"D-OWNER","owner_pac":"0446161152","source_pk":190051,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.34,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 0840799011 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840799011","source_pk":190053,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 1759880925 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759880925","source_pk":190054,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 2668971839 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668971839","source_pk":190055,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 2860991031 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860991031","source_pk":190056,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | PRIORITY MANAGEMENT GROUP, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2019","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3476835273","source_pk":190057,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | DAVID COLVIN (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":190059,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 5698274868 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698274868","source_pk":190060,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | STEVEN D BOULWARE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"04/01/2019","percentage_ownership":33.33} evidence: {"rule":"D-OWNER","owner_pac":"5991839813","source_pk":190061,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.33,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | SDB HOLDINGS (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"04/01/2019","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6406120690","source_pk":190064,"type_owner":"O","enrollment_id":"O20190509001570","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":"PMG OPCO-COLONIAL LLC"} |
| ← owns | RUKIYA LEWIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/19/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507365772","source_pk":190065,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 7113426388 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113426388","source_pk":190066,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | JAMIE COPELAND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315090131","source_pk":190067,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | PROGRESSIVE REHAB SOLUTIONS, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618492497","source_pk":190068,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 8022517291 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022517291","source_pk":190069,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 9133628308 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133628308","source_pk":190070,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | WILLIAM M BAUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"04/01/2019","percentage_ownership":33.33} evidence: {"rule":"D-OWNER","owner_pac":"9436335668","source_pk":190071,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.33,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| ← owns | OWNER PAC 9931608106 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931608106","source_pk":190073,"type_owner":"O","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1124589544 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2019-03-28 | 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 | PMG OPCO-COLONIAL LLC | 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 | LA | 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 1124589544: 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=…