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 | 1104236512 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1104236512","entity_type_code":"2"} |
| pecos_enrlmt_id | O20140814000182 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1104236512","rule":"D-PECOS","enrlmt_id":"O20140814000182"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | MARY E CLEM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0345523767","source_pk":139163,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | EPISCOPAL HOMES OF MINNESOTA (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/27/2013","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0749440568","source_pk":139164,"type_owner":"O","enrollment_id":"O20140814000182","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":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | MARVIN J PLAKUT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/27/2013","percentage_ownership":14.29} evidence: {"rule":"D-OWNER","owner_pac":"1153588397","source_pk":139165,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.29,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | CAROL FORBES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2016","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"1153604574","source_pk":139166,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | STEVEN J MORK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/12/2016","percentage_ownership":14.29} evidence: {"rule":"D-OWNER","owner_pac":"1557554839","source_pk":139167,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.29,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | DIANE D MCGOWAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/27/2013","percentage_ownership":4.55} evidence: {"rule":"D-OWNER","owner_pac":"2466670138","source_pk":139168,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.55,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | JEROME O SLAWICK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2016","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"3779866108","source_pk":139169,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | MELISSA GILBERTSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2016","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4082016712","source_pk":139170,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | EH SERVICES INC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/27/2013","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4082832746","source_pk":139171,"type_owner":"O","enrollment_id":"O20140814000182","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | WELLS FARGO BANK (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"05/01/2013","percentage_ownership":74.52} evidence: {"rule":"D-OWNER","owner_pac":"4688801608","source_pk":139172,"type_owner":"O","enrollment_id":"O20140814000182","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":74.52,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | BRIAN T OSTENSO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2015","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4789967118","source_pk":139173,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | PETER L GOVE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2016","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4880977206","source_pk":139174,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | LOIS J CUTLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2016","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4981987302","source_pk":139175,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"03/27/2013","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5092932103","source_pk":139176,"type_owner":"O","enrollment_id":"O20140814000182","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":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | JOHN T HENRY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/19/2015","percentage_ownership":14.29} evidence: {"rule":"D-OWNER","owner_pac":"5395094759","source_pk":139177,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.29,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | REBECCA HAWTHORNE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"5991107625","source_pk":139178,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | SARAH J NOWLIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/27/2013","percentage_ownership":4.55} evidence: {"rule":"D-OWNER","owner_pac":"6608033865","source_pk":139179,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.55,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | JAMES HUBER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6800298530","source_pk":139180,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | KEANAN FRANCO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"10/27/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8921357385","source_pk":139181,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | EPISCOPAL HOME CARE AND SERVICES (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/27/2013","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9537387295","source_pk":139182,"type_owner":"O","enrollment_id":"O20140814000182","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":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
| ← owns | THOMAS P HOVE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/27/2013","percentage_ownership":4.55} evidence: {"rule":"D-OWNER","owner_pac":"9931327608","source_pk":139183,"type_owner":"I","enrollment_id":"O20140814000182","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.55,"enrollment_organization_name":"EPISCOPAL HOMES ON UNIVERSITY AVENUE, LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1104236512 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 | 2014-05-07 | 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 | EPISCOPAL HOMES ON UNIVERSITY AVENUE, 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 |
| parent_org_lbn | EPISCOPAL HOME CARE AND SERVICES | 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 | MN | 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 1104236512: 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=…