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 |
|---|---|---|---|---|---|---|
| cms_op_profile_id | 1004521 | cms_open_payments | exact_npi_in_open_payments | 1.000 | 2026-06-13 | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 evidence: {"npi":"1518962968","rule":"D-OP-NPI","recipient_profile_id":"1004521"} |
| npi | 1518962968 | nppes_providers | deterministic_pk | 1.000 | 2026-06-11 | evidencerecorded: 2026-06-11 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1518962968","entity_type_code":"1"} |
| pac_id | 1951482637 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1518962968","rule":"D-PECOS","enrlmt_id":"I20080520000895","pecos_asct_cntl_id":"1951482637"} |
| pecos_enrlmt_id | I20080520000895 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1518962968","rule":"D-PECOS","enrlmt_id":"I20080520000895"} |
| pecos_enrlmt_id | I20230814002539 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1518962968","rule":"D-PECOS","enrlmt_id":"I20230814002539"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← pays | Otsuka America Pharmaceutical, Inc. (MD) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518962968","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"} |
| ← pays | Abbott Laboratories (IL) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518962968","manufacturer_id":"100000010680","nature_of_payment":"Food and Beverage"} |
| ← pays | MIMEDX Group, Inc. (GA) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518962968","manufacturer_id":"100001447486","nature_of_payment":"Food and Beverage"} |
| ← pays | Lundbeck LLC (IL) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518962968","manufacturer_id":"100000000236","nature_of_payment":"Food and Beverage"} |
| ← pays | SK Life Science, Inc. (NJ) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518962968","manufacturer_id":"100000726811","nature_of_payment":"Food and Beverage"} |
| owns → | FANNIN COUNTY HOSPITAL AUTHORITY (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":257473,"type_owner":"I","enrollment_id":"O20240813001578","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"FANNIN COUNTY HOSPITAL AUTHORITY"} |
| owns → | GUADALUPE COUNTY HOSPITAL BOARD (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":279062,"type_owner":"I","enrollment_id":"O20251103002310","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUADALUPE COUNTY HOSPITAL BOARD"} |
| owns → | QUAPAW CARE AND REHABILITATION CENTER LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/10/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":65908,"type_owner":"I","enrollment_id":"O20080409000331","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"QUAPAW CARE AND REHABILITATION CENTER LLC"} |
| owns → | TXKNC, INC. (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/28/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":71349,"type_owner":"I","enrollment_id":"O20080918000348","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TXKNC, INC."} |
| owns → | FANNIN COUNTY HOSPITAL AUTHORITY (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":166495,"type_owner":"I","enrollment_id":"O20170418000596","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FANNIN COUNTY HOSPITAL AUTHORITY"} |
| owns → | BELVEDERE NURSING AND REHABILITATION CENTER, LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/10/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":172260,"type_owner":"I","enrollment_id":"O20170915000508","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BELVEDERE NURSING AND REHABILITATION CENTER, LLC"} |
| owns → | GUADALUPE COUNTY HOSPITAL BOARD (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":189586,"type_owner":"I","enrollment_id":"O20190426000109","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CITY OF ENNIS"} |
| owns → | TEXARKANA SNF OPERATIONS LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":194918,"type_owner":"I","enrollment_id":"O20191016001648","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TEXARKANA SNF OPERATIONS, LLC"} |
| owns → | NASHVILLE WELLNESS LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":198432,"type_owner":"I","enrollment_id":"O20200117001908","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NASHVILLE WELLNESS LLC"} |
| owns → | MAGNOLIA HEALTHCARE LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":198525,"type_owner":"I","enrollment_id":"O20200121001262","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAGNOLIA HEALTHCARE LLC"} |
| owns → | PINE HILLS HEALTHCARE LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":224189,"type_owner":"I","enrollment_id":"O20220802002155","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PINE HILLS HEALTHCARE LLC"} |
| owns → | NASHVILLE NURSING OPCO LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":225096,"type_owner":"I","enrollment_id":"O20220823002385","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"NASHVILLE NURSING OPCO LLC"} |
| owns → | TEXARKANA AR OPCO LLC (AR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":238361,"type_owner":"I","enrollment_id":"O20230614001830","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"TEXARKANA AR OPCO LLC"} |
| owns → | FANNIN COUNTY HOSPITAL AUTHORITY (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":257473,"type_owner":"I","enrollment_id":"O20240813001578","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FANNIN COUNTY HOSPITAL AUTHORITY"} |
| owns → | GUADALUPE COUNTY HOSPITAL BOARD (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951482637","source_pk":279062,"type_owner":"I","enrollment_id":"O20251103002310","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUADALUPE COUNTY HOSPITAL BOARD"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1518962968 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| credential | MD | 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 | 2005-06-14 | 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 |
| first_name | CLAY | 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 |
| last_name | FERGUSON | 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 | AR | 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 | 207Q00000X | 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 |
| years_active | 20 years | 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 1518962968: 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
On file12 CMS Open Payments records on file. Ask Fonteum for the largest payments and a cited total.
14-tuple provenance (1)
Order & referring eligibility
On fileOn the CMS Order and Referring roster — eligible to order and refer in 5 of 5 Medicare benefit categories.
- Part B: Y
- DME: Y
- HHA: Y
- PMD: Y
- Hospice: Y
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 file2 Medicare enrollment records 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=…