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 | 1033927074 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1033927074","entity_type_code":"2"} |
| pac_id | 1850892878 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1033927074","rule":"D-PECOS","enrlmt_id":"O20250831000418","pecos_asct_cntl_id":"1850892878"} |
| pecos_enrlmt_id | O20250831000418 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1033927074","rule":"D-PECOS","enrlmt_id":"O20250831000418"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | VANESSA STURGILL FANT (VA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052205473","source_pk":277037,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | NU C II IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"1951813187","source_pk":277039,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | OWNER PAC 3577064591 (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"71","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577064591","source_pk":277040,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"71","role_text_owner":"TRUSTEE OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | SNF CARE CENTERS LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3870005002","source_pk":277041,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | ALYSSA L CLARK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587920335","source_pk":277042,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | SNF MGR LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688186810","source_pk":277045,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | SYNERGY HEALTHCARE SERVICES (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395246318","source_pk":277047,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | VAOP HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5496261406","source_pk":277048,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | ZENITH HOLDCO II LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5698287829","source_pk":277049,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | OWNER PAC 6204337223 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/26/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204337223","source_pk":277050,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | BRIDGET RIGGINS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305347329","source_pk":277051,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | CARE.AI (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012418031","source_pk":277053,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | INDEPENDENCE PARENTCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7113428137","source_pk":277054,"type_owner":"O","enrollment_id":"O20250831000418","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":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | TIFFANY HOBACK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315391984","source_pk":277055,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | ZENITH HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7315459542","source_pk":277058,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | GRAYSON HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8022519040","source_pk":277059,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | TEQUILLA JONES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022520253","source_pk":277060,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | ROBERT SWORD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325354509","source_pk":277062,"type_owner":"I","enrollment_id":"O20250831000418","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | OWNER PAC 8921509944 (RI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921509944","source_pk":277064,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | NU C IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"9133631369","source_pk":277065,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
| ← owns | OWNER PAC 9830690858 (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830690858","source_pk":277066,"type_owner":"O","enrollment_id":"O20250831000418","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"400 SOUTH INDEPENDENCE AVENUE OPCO LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1033927074 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 | 2024-12-23 | 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 | 400 SOUTH INDEPENDENCE AVENUE OPCO 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 | VA | 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 1033927074: 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=…