TERMINAL · ENTITY CARD · ORGANIZATION

EASTERN STAR MASONIC HOME

Canonical entity in the resolved graph · IA · methodology entity-graph/v1 · e74631af-fc2e-49ba-8e12-ee0cb03d6386

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	1740283795	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1740283795","entity_type_code":"2"}
pac_id	0547432494	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1740283795","rule":"D-PECOS","enrlmt_id":"O20111019000037","pecos_asct_cntl_id":"0547432494"}
pecos_enrlmt_id	O20111019000037	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1740283795","rule":"D-PECOS","enrlmt_id":"O20111019000037"}

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	JULIE ROSSOW	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/21/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244568392","source_pk":104830,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	CODY HENSON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/17/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446748461","source_pk":104831,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	TIMOTHY RAMLHUN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2021","percentage_ownership":20} evidence: {"rule":"D-OWNER","owner_pac":"0547656811","source_pk":104832,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 0547752016	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547752016","source_pk":104833,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	ROBERT KOSS	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"11/01/2021","percentage_ownership":20} evidence: {"rule":"D-OWNER","owner_pac":"1355737867","source_pk":104834,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1355833831	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355833831","source_pk":104835,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	INNOVATIVE COMMUNICATIONS LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355833856","source_pk":104836,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	CLIFTONLARSONALLEN LLP (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/25/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456885441","source_pk":104837,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1658863063	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658863063","source_pk":104838,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1658863071	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658863071","source_pk":104839,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1658863139	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658863139","source_pk":104840,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1951893361	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951893361","source_pk":104841,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 1951893411	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951893411","source_pk":104842,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 2567954126	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567954126","source_pk":104843,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 2668964156	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668964156","source_pk":104844,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 2769974187	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769974187","source_pk":104845,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 2769974237	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769974237","source_pk":104846,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 3173015724	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173015724","source_pk":104847,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 3577055995	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577055995","source_pk":104848,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	TIFFANY HULL	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/10/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284122201","source_pk":104849,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 4486146040	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486146040","source_pk":104850,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	CATTAIL INC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486155835","source_pk":104851,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 4688166168	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688166168","source_pk":104852,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	BCG HOLDINGS INC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688173206","source_pk":104853,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 4789176272	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789176272","source_pk":104854,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	IOWA HEALTH CARE ASSOCIATION (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981105319","source_pk":104855,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 5092207563	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092207563","source_pk":104856,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 5496247801	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496247801","source_pk":104857,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 5597257063	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597257063","source_pk":104858,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 5698267169	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698267169","source_pk":104859,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 5799277257	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799277257","source_pk":104860,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	AEGIS THERAPIES, INC. (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204746860","source_pk":104861,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 6406348960	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406348960","source_pk":104862,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	GUARDIAN PHARMACY OF IOWA LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507123049","source_pk":104863,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 6608368006	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608368006","source_pk":104864,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 6709378276	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709378276","source_pk":104865,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	ECSI INC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709387129","source_pk":104866,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 6800388208	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800388208","source_pk":104868,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	JOSHUA ANDERSON (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/30/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901093194","source_pk":104869,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	ASHLEY METZGER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901394923","source_pk":104871,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7012409501	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012409501","source_pk":104872,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7214429620	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214429620","source_pk":104873,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7214429869	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214429869","source_pk":104874,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7315439734	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315439734","source_pk":104875,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7517459910	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517459910","source_pk":104876,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 7911499405	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911499405","source_pk":104877,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 8022506054	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022506054","source_pk":104878,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 8325530801	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325530801","source_pk":104879,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	JOHN WHITAKER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/22/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426546409","source_pk":104880,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 8820580244	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/15/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820580244","source_pk":104881,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	J EVANS NUTRITION CONSULTING LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032616511","source_pk":104882,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 9133611627	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133611627","source_pk":104883,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 9234621707	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234621707","source_pk":104884,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	CATTAIL BCG LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234630351","source_pk":104885,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	CHRISTINA WALSH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335637339","source_pk":104886,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 9436641917	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436641917","source_pk":104888,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	APRIL ELSBERRY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/24/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436647443","source_pk":104889,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	OWNER PAC 9638661127	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638661127","source_pk":104890,"type_owner":"I","enrollment_id":"O20111019000037","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}
← owns	BRIGHTON CONSULTING GROUP LLC (IA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931016946","source_pk":104891,"type_owner":"O","enrollment_id":"O20111019000037","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EASTERN STAR MASONIC HOME"}

Current record

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

org · 1740283795 JSON

Current claims for org 1740283795
Metric	Value	Asserted	Source
enumeration_date	2005-05-23	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	EASTERN STAR MASONIC HOME	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	IA	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 1740283795: 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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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: 2026-09-20T08:07:25.710Z

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=…