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 | 1417929415 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1417929415","entity_type_code":"2"} |
| pecos_enrlmt_id | O20090309000036 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1417929415","rule":"D-PECOS","enrlmt_id":"O20090309000036"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | KEVIN CHILDS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143686485","source_pk":75403,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | PETER D CORLESS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0345150165","source_pk":75404,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | LINDA L UPMEYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/29/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052400181","source_pk":75405,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | EMILY DRAKE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/04/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254777022","source_pk":75406,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 1658872395 (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658872395","source_pk":75407,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | EMILY ANNE MCCOMAS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/13/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264802958","source_pk":75408,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | JERAMY D KUHN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/25/2008","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365517307","source_pk":75410,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | JOHANNA VOLM | 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":"2365959244","source_pk":75411,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | SCOTT EBERLY (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466353636","source_pk":75412,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 2466953104 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466953104","source_pk":75414,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 2567963200 (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567963200","source_pk":75415,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | KEITH K KREIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/29/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769393941","source_pk":75416,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | COMPUTERSHARE CORPORATE TRUST COMPANY, NA (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"02/01/2025","percentage_ownership":16.19} evidence: {"rule":"D-OWNER","owner_pac":"2860907854","source_pk":75417,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":16.19,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 3476054115 (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476054115","source_pk":75419,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | CARE INITIATIVES (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"03/01/2014","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3870575350","source_pk":75420,"type_owner":"O","enrollment_id":"O20090309000036","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":"CARE INITIATIVES"} |
| ← owns | CHARISSA J BAEDKE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870735186","source_pk":75421,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | MARY JANE CAROTHERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971411109","source_pk":75422,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 4385145028 (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385145028","source_pk":75423,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | DENISE D STURM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486045457","source_pk":75424,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | OWNER PAC 5294236931 (IA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294236931","source_pk":75425,"type_owner":"O","enrollment_id":"O20090309000036","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | ELIZABETH RUST | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709257819","source_pk":75426,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | JESSICA MCDYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/22/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012105265","source_pk":75427,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | MICHAEL W BEAL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214945591","source_pk":75428,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | TANYA GILYARD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/23/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"8123533114","source_pk":75430,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | LANE MORRELL BOWEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9436069259","source_pk":75431,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"CARE INITIATIVES"} |
| ← owns | DAVID B DIXON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537452479","source_pk":75432,"type_owner":"I","enrollment_id":"O20090309000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CARE INITIATIVES"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1417929415 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 | 2006-02-03 | 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 | CARE INITIATIVES | 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 1417929415: 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=…