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 | 1285777847 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1285777847","entity_type_code":"2"} |
| pac_id | 6406022524 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1285777847","rule":"D-PECOS","enrlmt_id":"O20111220000514","pecos_asct_cntl_id":"6406022524"} |
| pecos_enrlmt_id | O20111220000514 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1285777847","rule":"D-PECOS","enrlmt_id":"O20111220000514"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | OWNER PAC 0143700229 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143700229","source_pk":109947,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | PM ACQUISITION LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446589741","source_pk":109948,"type_owner":"O","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 0547740623 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547740623","source_pk":109949,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | BLUE STONE THERAPY INC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850707787","source_pk":109950,"type_owner":"O","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | BRUCE GRIMM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/10/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062992191","source_pk":109951,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | JEFFREY JACOBS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163805821","source_pk":109952,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | SANDRA SHEDA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/01/1997","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466628599","source_pk":109953,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | SANDRA WILSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072996735","source_pk":109954,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | ROXIE KONICEK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/31/1995","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173003209","source_pk":109955,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 3678053774 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678053774","source_pk":109956,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 3971083072 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971083072","source_pk":109957,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | TROY RENAUD (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/07/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971691346","source_pk":109958,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 4183104250 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183104250","source_pk":109960,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | DENISE OVERTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284800319","source_pk":109961,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | SANDRA HULST | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/20/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880175603","source_pk":109962,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | DANIEL M LARMORE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496929333","source_pk":109963,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | JAMMIE HOWARD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597245704","source_pk":109965,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 5991285090 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991285090","source_pk":109966,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 6305326430 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305326430","source_pk":109967,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | KRISTIN WHITMORE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/10/2014","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608356837","source_pk":109968,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 6800376989 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800376989","source_pk":109969,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 6901386002 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901386002","source_pk":109970,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | BOWMAN AND MILLER PC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113407289","source_pk":109971,"type_owner":"O","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | DELORES CARVER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/03/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517447642","source_pk":109972,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | JAMES OWENS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/1995","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911173042","source_pk":109973,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 8820578925 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820578925","source_pk":109974,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | J EVANS NUTRITION CONSULTING LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032616511","source_pk":109975,"type_owner":"O","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | SCOTT MONAT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133504210","source_pk":109976,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 9335629419 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335629419","source_pk":109977,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | OWNER PAC 9830679935 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830679935","source_pk":109978,"type_owner":"I","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
| ← owns | BRIGHTON CONSULTING GROUP LLC (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931016946","source_pk":109979,"type_owner":"O","enrollment_id":"O20111220000514","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TRAER NURSING CARE CENTER INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1285777847 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 | 2007-02-14 | 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 | TRAER NURSING CARE CENTER, 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 | IA | 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 1285777847: 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=…