TERMINAL · ENTITY CARD · ORGANIZATION

CCRC OF LEES SUMMIT, LLC

Canonical entity in the resolved graph · MO · methodology entity-graph/v1 · b224a4f0-10b7-4d15-86db-f0ef0ab52a10

active

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.

Current identifier attachments with link confidence
Scheme	Value	Source table	Link method	Confidence	Since	Provenance
npi	1205528353	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1205528353","entity_type_code":"2"}
pac_id	4082138540	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1205528353","rule":"D-PECOS","enrlmt_id":"O20250407002276","pecos_asct_cntl_id":"4082138540"}
pecos_enrlmt_id	O20250407002276	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1205528353","rule":"D-PECOS","enrlmt_id":"O20250407002276"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
Relationship	Entity	Confidence	Source table	Provenance
← owns	OWNER PAC 0042734352	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"0042734352","source_pk":269243,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 0244754547 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":0.52} evidence: {"rule":"D-OWNER","owner_pac":"0244754547","source_pk":269244,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.52,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 0446774731 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"0446774731","source_pk":269245,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 0547784837 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"0547784837","source_pk":269246,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	STEVEN M HOWARD	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"02/01/2025","percentage_ownership":8.08} evidence: {"rule":"D-OWNER","owner_pac":"0648351148","source_pk":269247,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.08,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 0648794933 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"0648794933","source_pk":269249,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 0941724256	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":0.52} evidence: {"rule":"D-OWNER","owner_pac":"0941724256","source_pk":269250,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.52,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 1153845458 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":0.52} evidence: {"rule":"D-OWNER","owner_pac":"1153845458","source_pk":269251,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.52,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 1557885845 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.57} evidence: {"rule":"D-OWNER","owner_pac":"1557885845","source_pk":269252,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.57,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 1951825249 (CO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"1951825249","source_pk":269253,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 1951825256	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"1951825256","source_pk":269254,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 1951825264	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"1951825264","source_pk":269255,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2163946468 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2163946468","source_pk":269256,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2264956564 (CO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2264956564","source_pk":269257,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2466976758 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2466976758","source_pk":269258,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2466976766 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.57} evidence: {"rule":"D-OWNER","owner_pac":"2466976766","source_pk":269259,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.57,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	JESSICA LEE (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668698200","source_pk":269260,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2668996950 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.24} evidence: {"rule":"D-OWNER","owner_pac":"2668996950","source_pk":269262,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.24,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2769906064 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2769906064","source_pk":269264,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2860916152 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2860916152","source_pk":269265,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2860916178	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"2860916178","source_pk":269266,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 2961926266 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961926266","source_pk":269267,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3072037373 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"3072037373","source_pk":269268,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	PIVOTAL HEALTH CARE LLC (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375718075","source_pk":269269,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3476077769 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"3476077769","source_pk":269271,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3678097961 (AZ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"3678097961","source_pk":269272,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3678097979 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"3678097979","source_pk":269273,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3779007067 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"3779007067","source_pk":269274,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3779007075	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"3779007075","source_pk":269275,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3779007083	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"3779007083","source_pk":269276,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 3870017171 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870017171","source_pk":269277,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	SCENIC HOLDINGS LLC (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"02/01/2025","percentage_ownership":8.92} evidence: {"rule":"D-OWNER","owner_pac":"4082951249","source_pk":269278,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.92,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	CADET INVESTMENT LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"02/01/2025","percentage_ownership":6.66} evidence: {"rule":"D-OWNER","owner_pac":"4284809989","source_pk":269280,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":6.66,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 4688198989	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.57} evidence: {"rule":"D-OWNER","owner_pac":"4688198989","source_pk":269282,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.57,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 4688198997	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"4688198997","source_pk":269283,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 4789108085 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789108085","source_pk":269284,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 4981128287 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"4981128287","source_pk":269285,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 5193249498 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"5193249498","source_pk":269286,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 5395269682 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"5395269682","source_pk":269287,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 5597289892	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"5597289892","source_pk":269288,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 5890219190 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"5890219190","source_pk":269289,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 5991229296 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"5991229296","source_pk":269290,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	WSG LLC (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"02/01/2025","percentage_ownership":18.14} evidence: {"rule":"D-OWNER","owner_pac":"5991972002","source_pk":269291,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":18.14,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	POKY - 5R LLC (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"02/01/2025","percentage_ownership":7.5} evidence: {"rule":"D-OWNER","owner_pac":"6002081700","source_pk":269293,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7.5,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 6305360694 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"6305360694","source_pk":269295,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 6406370709	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"6406370709","source_pk":269296,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 6406370717	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"6406370717","source_pk":269297,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	CURANA (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507380805","source_pk":269298,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	GILBERT R WOOD	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/30/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800704438","source_pk":269299,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	TRAVIS S GULLEDGE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901338334","source_pk":269302,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 7214451525	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"7214451525","source_pk":269305,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	JORDAN R ANDERSON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/30/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618358771","source_pk":269306,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	SCENIC DEVELOPMENT LLC (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"02/01/2025","percentage_ownership":24.18} evidence: {"rule":"D-OWNER","owner_pac":"7810162518","source_pk":269309,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":24.18,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	CODY HUGHES	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810382215","source_pk":269312,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 8022532316 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":3.67} evidence: {"rule":"D-OWNER","owner_pac":"8022532316","source_pk":269314,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":3.67,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 8123542438	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"8123542438","source_pk":269315,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 8426572728 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"8426572728","source_pk":269316,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9032633342	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"9032633342","source_pk":269317,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9133643448	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"9133643448","source_pk":269318,"type_owner":"I","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9335663632 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":0.52} evidence: {"rule":"D-OWNER","owner_pac":"9335663632","source_pk":269319,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.52,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9638693922 (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"9638693922","source_pk":269320,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9638693930 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":1.05} evidence: {"rule":"D-OWNER","owner_pac":"9638693930","source_pk":269321,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.05,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}
← owns	OWNER PAC 9830613124 (KS)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"02/01/2025","percentage_ownership":2.1} evidence: {"rule":"D-OWNER","owner_pac":"9830613124","source_pk":269322,"type_owner":"O","enrollment_id":"O20250407002276","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.1,"enrollment_organization_name":"CCRC OF LEES SUMMIT LLC"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1205528353 JSON

Current claims for org 1205528353
Metric	Value	Asserted	Source
dba_name	<UNAVAIL>	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
enumeration_date	2023-05-25	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
legal_business_name	CCRC OF LEES SUMMIT, LLC	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
practice_state	MO	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
primary_taxonomy	314000000X	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1205528353: 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 stale

Exclusion 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.

Source:OIG LEIE +25 moreChecked 2026-09-20

14-tuple provenance (26)

OIG LEIE

source: HHS Office of Inspector General (LEIE)

dataset_id: oig-leie

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1977-10-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

SAM.gov Exclusions

source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)

dataset_id: sam-gov-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2012-07-30

coverage_end: ongoing

slsa_provenance_url: —

upstream source

NY Medicaid (OMIG)

source: NY Office of the Medicaid Inspector General (OMIG)

dataset_id: ny-omig-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NY-OMIG-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OH Medicaid (ODM)

source: Ohio Department of Medicaid (ODM)

dataset_id: oh-odm-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: OH-ODM-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

GA Medicaid (DCH OIG)

source: Georgia DCH Office of Inspector General

dataset_id: ga-dch-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: GA-DCH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

PA Medicaid (Medicheck)

source: Pennsylvania Department of Human Services (DHS)

dataset_id: pa-dhs-medicheck

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: PA-DHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NC Medicaid (DHHS)

source: NC DHHS, Division of Health Benefits (NC Medicaid)

dataset_id: nc-dhhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NC-DHHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MD Medicaid

source: Maryland Department of Health (MDH)

dataset_id: md-mdh-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MD-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

WA Medicaid

source: Washington State Health Care Authority (HCA)

dataset_id: wa-hca-termination-exclusion

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: WA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IA Medicaid

source: Iowa Health and Human Services (Iowa Medicaid)

dataset_id: ia-medicaid-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MS Medicaid

source: Mississippi Division of Medicaid (DOM)

dataset_id: ms-dom-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MT Medicaid

source: Montana Department of Public Health and Human Services (DPHHS)

dataset_id: mt-dphhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MT-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CO Medicaid

source: Colorado Department of Health Care Policy & Financing (HCPF)

dataset_id: co-hcpf-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: CO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IN Medicaid

source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)

dataset_id: in-ompp-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KS Medicaid

source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)

dataset_id: ks-kmap-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KY Medicaid

source: Kentucky CHFS, Department for Medicaid Services (DMS)

dataset_id: ky-dms-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KY-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NH Medicaid

source: New Hampshire Department of Health and Human Services (DHHS)

dataset_id: nh-dhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

ND Medicaid

source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity

dataset_id: nd-hhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: ND-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

TN Medicaid

source: Tennessee TennCare, Office of Program Integrity

dataset_id: tn-tenncare-terminated

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: TN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MI Medicaid

source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity

dataset_id: mi-mdhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MI-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

LA Medicaid

source: Louisiana Department of Health (LDH), Program Integrity

dataset_id: la-ldh-adverse-actions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: LA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

SC Medicaid

source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity

dataset_id: sc-scdhhs-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: SC-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MA Medicaid

source: Massachusetts MassHealth (EOHHS), Office of Program Integrity

dataset_id: ma-masshealth-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MO Medicaid

source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services

dataset_id: mo-mmac-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OIG CIA

source: HHS Office of Inspector General — Corporate Integrity Agreements

dataset_id: oig-cia

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CMS Penalties

source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties

dataset_id: cms-cmp

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20

14-tuple provenance (1)

CMS Open Payments

source: CMS Open Payments (Sunshine Act physician payment disclosures)

dataset_id: cms-open-payments

snapshot: —

methodology: open-payments/v1

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2013-08-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20

14-tuple provenance (1)

CMS Order and Referring

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-order-referring

snapshot: —

methodology: cms-order-referring/v1

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20

14-tuple provenance (1)

CMS Opt Out Affidavits

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-opt-out-affidavits

snapshot: —

methodology: cms-opt-out/v1

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1998-01-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Revalidation

On file

1 Medicare enrollment record on file.

Due date: TBD upstream — not due within the ensuing six months.

Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20

14-tuple provenance (1)

CMS Medicare Revalidation Due Date List

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-revalidation-due-dates

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T14:17:40.920Z

confidence: 1

data_availability: present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2011-03-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

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=…