TERMINAL · ENTITY CARD · ORGANIZATION

FORT AUSTIN LIMITED PARTNERSHIP

Canonical entity in the resolved graph · TX · methodology entity-graph/v1 · dede8005-9535-4555-a263-5ffd58066a0a

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	1992763080	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1992763080","entity_type_code":"2"}
pac_id	5193721769	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1992763080","rule":"D-PECOS","enrlmt_id":"O20080804000122","pecos_asct_cntl_id":"5193721769"}
pecos_enrlmt_id	O20080804000122	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1992763080","rule":"D-PECOS","enrlmt_id":"O20080804000122"}

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	KEVIN W BOWMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042573909","source_pk":70181,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 0244730950	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244730950","source_pk":70183,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	CAROL DAVID-ROSEN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345743928","source_pk":70184,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 0446750178	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446750178","source_pk":70185,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 1052811767	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052811767","source_pk":70186,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	MARK FIORAVANTI	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/13/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052829512","source_pk":70187,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	CLAUDIA DRAYTON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153839618","source_pk":70188,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	LIAM FRY (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658390471","source_pk":70189,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 1759881477	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759881477","source_pk":70191,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 1759898646	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759898646","source_pk":70192,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	ARC FORT AUSTIN PROPERTIES LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"39","association_date":"12/13/2002","percentage_ownership":99} evidence: {"rule":"D-OWNER","owner_pac":"2163925827","source_pk":70193,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"39","role_text_owner":"LIMITED PARTNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":99,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	CATHERINE ODANGA	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264935840","source_pk":70194,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 2365942091	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365942091","source_pk":70195,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	BRANDI BERTRAND	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365945946","source_pk":70196,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	KEVIN W LA MARRE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/22/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466891759","source_pk":70198,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OHI ASSET (AZ) TUCSON-7500 NORTH CALLE SIN ENVIDIA LLC (MD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/20/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769982677","source_pk":70200,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	BROOKDALE SENIOR LIVING INC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"06/28/2005","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3072521293","source_pk":70201,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP (MD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/20/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274813597","source_pk":70202,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OMEGA HEALTHCARE INVESTORS INC (MD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/20/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375616972","source_pk":70203,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 3476060369	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476060369","source_pk":70204,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	TODD A MACKENZIE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476584954","source_pk":70205,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 3577071026	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577071026","source_pk":70206,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 4183124803	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183124803","source_pk":70207,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 4183132640	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183132640","source_pk":70208,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	CHADWICK C WHITE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/09/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183869225","source_pk":70209,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	ELIZABETH MACE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284142753","source_pk":70214,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 4486154192	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486154192","source_pk":70215,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 4880194596	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880194596","source_pk":70216,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 4981104692	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981104692","source_pk":70217,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	LEE WIELANSKY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092223560","source_pk":70218,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 5294235008	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294235008","source_pk":70219,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 5395245021	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395245021","source_pk":70220,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	DENISE W WARREN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/04/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496833865","source_pk":70221,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	LUCINDA M BAIER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597069583","source_pk":70222,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	JORDAN R ASHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/24/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698870434","source_pk":70224,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	ARCPI HOLDINGS INC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"39","association_date":"12/16/2002","percentage_ownership":99} evidence: {"rule":"D-OWNER","owner_pac":"5799782298","source_pk":70225,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"39","role_text_owner":"LIMITED PARTNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":99,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	LBMC PC (TN)	1.000	snf_all_owners	evidence recorded: 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":"5991203044","source_pk":70227,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 5991213456	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991213456","source_pk":70228,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 6002316726	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002316726","source_pk":70229,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 6002316817	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002316817","source_pk":70230,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	ANNA F.C. MUNOZ	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/15/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103265491","source_pk":70231,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	NIKOLAS W STENGLE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"11/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103310503","source_pk":70233,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 6901306711	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901306711","source_pk":70234,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7012417736	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012417736","source_pk":70235,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7315447026	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315447026","source_pk":70236,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7719487446	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719487446","source_pk":70237,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7810497542	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810497542","source_pk":70238,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7911407622	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911407622","source_pk":70239,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 7911407630	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911407630","source_pk":70240,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8022510882	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022510882","source_pk":70241,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	VICTORIA FREED	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/29/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022526599","source_pk":70242,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8123528833	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123528833","source_pk":70243,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8224530084	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224530084","source_pk":70244,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	DAWN KUSSOW	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426595109","source_pk":70245,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8527568237	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527568237","source_pk":70247,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8628571254	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628571254","source_pk":70248,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 8628578333	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628578333","source_pk":70249,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	JOSHUA HAUSMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921516493","source_pk":70250,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	WALTERS FINANCIAL SERVICES INC (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234646100","source_pk":70251,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 9335642966	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335642966","source_pk":70252,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	AMERICAN RETIREMENT CORPORATION (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2003","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9537076203","source_pk":70253,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OHI ASSET HUD SF CA LLC (MD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/20/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9739682402","source_pk":70254,"type_owner":"O","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 9830606722	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/01/2002","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830606722","source_pk":70255,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}
← owns	OWNER PAC 9830691690	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830691690","source_pk":70256,"type_owner":"I","enrollment_id":"O20080804000122","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORT AUSTIN LIMITED PARTNERSHIP"}

Current record

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

org · 1992763080 JSON

Current claims for org 1992763080
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	2006-05-01	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	FORT AUSTIN LIMITED PARTNERSHIP	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	TX	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 1992763080: 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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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: 2026-09-20T12:26:52.522Z

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=…