Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1679728919 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1679728919","entity_type_code":"2"} |
| pac_id | 5890841571 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1679728919","rule":"D-PECOS","enrlmt_id":"O20090922000300","pecos_asct_cntl_id":"5890841571"} |
| pecos_enrlmt_id | O20090922000300 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1679728919","rule":"D-PECOS","enrlmt_id":"O20090922000300"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | OWNER PAC 0143722934 | 1.000 | snf_all_owners | evidencerecorded: 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":"0143722934","source_pk":81455,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | JEFFREY BELISLE (CO) | 1.000 | snf_all_owners | evidencerecorded: 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":"0446578108","source_pk":81456,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 0446750178 | 1.000 | snf_all_owners | evidencerecorded: 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":81457,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 0648772426 | 1.000 | snf_all_owners | evidencerecorded: 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":"0648772426","source_pk":81458,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | FEBC-ALT INVESTORS LLC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749727527","source_pk":81459,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 0749782928 | 1.000 | snf_all_owners | evidencerecorded: 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":"0749782928","source_pk":81460,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | BROOKDALE SENIOR LIVING COMMUNITIES INC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840737623","source_pk":81461,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | MARK FIORAVANTI | 1.000 | snf_all_owners | evidencerecorded: 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":81462,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | ALLY BANK (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"02/09/2024","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"1153754916","source_pk":81463,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | CLAUDIA DRAYTON | 1.000 | snf_all_owners | evidencerecorded: 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":81464,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 1759881477 | 1.000 | snf_all_owners | evidencerecorded: 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":81465,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 2365942091 | 1.000 | snf_all_owners | evidencerecorded: 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":81466,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | CINDY KENT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"11/20/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466867452","source_pk":81467,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | KEVIN W LA MARRE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/22/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466891759","source_pk":81468,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | BSLCI-DEVELOPMNET HOLDINGS LLC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567964588","source_pk":81469,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 2668974445 | 1.000 | snf_all_owners | evidencerecorded: 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":"2668974445","source_pk":81470,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | BKD OVERLAND PARK LLC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668974684","source_pk":81471,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | BROOKDALE SENIOR LIVING INC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072521293","source_pk":81472,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 3173025921 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/01/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173025921","source_pk":81474,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | ALLY FINANCIAL INC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274819800","source_pk":81475,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | WILLIAM CARY | 1.000 | snf_all_owners | evidencerecorded: 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":"3476978743","source_pk":81476,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 3577071026 | 1.000 | snf_all_owners | evidencerecorded: 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":81477,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | KIM B FENNEBRESQUE | 1.000 | snf_all_owners | evidencerecorded: 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":"3779645437","source_pk":81478,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 3870095656 | 1.000 | snf_all_owners | evidencerecorded: 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":"3870095656","source_pk":81479,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 4082116850 | 1.000 | snf_all_owners | evidencerecorded: 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":"4082116850","source_pk":81480,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 4183132640 | 1.000 | snf_all_owners | evidencerecorded: 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":81481,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | CHADWICK C WHITE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/09/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183869225","source_pk":81482,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | ELIZABETH MACE | 1.000 | snf_all_owners | evidencerecorded: 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":81485,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | ANDRALIE DAVISON | 1.000 | snf_all_owners | evidencerecorded: 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":"4486156213","source_pk":81486,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | MARY MAHER | 1.000 | snf_all_owners | evidencerecorded: 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":"4789186529","source_pk":81487,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | KIMBERLY SUZANNE ELLIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789570011","source_pk":81488,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 4880196674 | 1.000 | snf_all_owners | evidencerecorded: 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":"4880196674","source_pk":81490,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | LEE WIELANSKY | 1.000 | snf_all_owners | evidencerecorded: 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":81491,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 5395245021 | 1.000 | snf_all_owners | evidencerecorded: 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":81492,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | IB FINANCE HOLDING COMPANY LLC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395247340","source_pk":81493,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | BRIAN SHARPLESS | 1.000 | snf_all_owners | evidencerecorded: 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":"5395805006","source_pk":81494,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | DENISE W WARREN | 1.000 | snf_all_owners | evidencerecorded: 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":81495,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | JORDAN R ASHER | 1.000 | snf_all_owners | evidencerecorded: 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":81496,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | LBMC PC (TN) | 1.000 | snf_all_owners | evidencerecorded: 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":81497,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 5991213456 | 1.000 | snf_all_owners | evidencerecorded: 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":81498,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 6002316726 | 1.000 | snf_all_owners | evidencerecorded: 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":81499,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | ANNA F.C. MUNOZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/05/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103265491","source_pk":81500,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | NIKOLAS W STENGLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103310503","source_pk":81501,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | FEBC-ALT HOLDINGS INC (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204373087","source_pk":81503,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | KENNETH BACON | 1.000 | snf_all_owners | evidencerecorded: 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":"6406768183","source_pk":81504,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 6608378476 | 1.000 | snf_all_owners | evidencerecorded: 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":"6608378476","source_pk":81505,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 7012417736 | 1.000 | snf_all_owners | evidencerecorded: 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":81506,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 7719487446 | 1.000 | snf_all_owners | evidencerecorded: 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":81507,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 7810497542 | 1.000 | snf_all_owners | evidencerecorded: 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":81508,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 7911407630 | 1.000 | snf_all_owners | evidencerecorded: 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":81509,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 8022510882 | 1.000 | snf_all_owners | evidencerecorded: 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":81510,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | VICTORIA FREED | 1.000 | snf_all_owners | evidencerecorded: 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":81511,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 8224530084 | 1.000 | snf_all_owners | evidencerecorded: 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":81512,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | STEPHANIE GARCIA (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325287873","source_pk":81513,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | DAWN KUSSOW | 1.000 | snf_all_owners | evidencerecorded: 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":81514,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | JOSHUA HAUSMAN | 1.000 | snf_all_owners | evidencerecorded: 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":81516,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | WALTERS FINANCIAL SERVICES INC (FL) | 1.000 | snf_all_owners | evidencerecorded: 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":81517,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 9436651213 | 1.000 | snf_all_owners | evidencerecorded: 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":"9436651213","source_pk":81518,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | AMERICAN RETIREMENT CORPORATION (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"08/01/2009","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9537076203","source_pk":81519,"type_owner":"O","enrollment_id":"O20090922000300","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 9830606722 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830606722","source_pk":81520,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 9830691617 | 1.000 | snf_all_owners | evidencerecorded: 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":"9830691617","source_pk":81521,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 9830691690 | 1.000 | snf_all_owners | evidencerecorded: 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":81522,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
| ← owns | OWNER PAC 9931601713 | 1.000 | snf_all_owners | evidencerecorded: 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":"9931601713","source_pk":81523,"type_owner":"I","enrollment_id":"O20090922000300","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BKD HCR MASTER LEASE 3 TENANT LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1679728919 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| enumeration_date | 2008-12-01 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | BKD HCR MASTER LEASE 3 TENANT LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | KS | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1679728919: 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.
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: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
NY Medicaid (OMIG)
source: NY Office of the Medicaid Inspector General (OMIG)
dataset_id: ny-omig-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
OH Medicaid (ODM)
source: Ohio Department of Medicaid (ODM)
dataset_id: oh-odm-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
GA Medicaid (DCH OIG)
source: Georgia DCH Office of Inspector General
dataset_id: ga-dch-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
PA Medicaid (Medicheck)
source: Pennsylvania Department of Human Services (DHS)
dataset_id: pa-dhs-medicheck
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
NC Medicaid (DHHS)
source: NC DHHS, Division of Health Benefits (NC Medicaid)
dataset_id: nc-dhhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
MD Medicaid
source: Maryland Department of Health (MDH)
dataset_id: md-mdh-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
WA Medicaid
source: Washington State Health Care Authority (HCA)
dataset_id: wa-hca-termination-exclusion
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
IA Medicaid
source: Iowa Health and Human Services (Iowa Medicaid)
dataset_id: ia-medicaid-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
MS Medicaid
source: Mississippi Division of Medicaid (DOM)
dataset_id: ms-dom-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
MT Medicaid
source: Montana Department of Public Health and Human Services (DPHHS)
dataset_id: mt-dphhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
CO Medicaid
source: Colorado Department of Health Care Policy & Financing (HCPF)
dataset_id: co-hcpf-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
IN Medicaid
source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)
dataset_id: in-ompp-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
KY Medicaid
source: Kentucky CHFS, Department for Medicaid Services (DMS)
dataset_id: ky-dms-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
NH Medicaid
source: New Hampshire Department of Health and Human Services (DHHS)
dataset_id: nh-dhhs-sanctions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
TN Medicaid
source: Tennessee TennCare, Office of Program Integrity
dataset_id: tn-tenncare-terminated
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
LA Medicaid
source: Louisiana Department of Health (LDH), Program Integrity
dataset_id: la-ldh-adverse-actions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
MA Medicaid
source: Massachusetts MassHealth (EOHHS), Office of Program Integrity
dataset_id: ma-masshealth-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
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: —
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: 2026-09-20T10:32:04.752Z
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: —
OIG CIA
source: HHS Office of Inspector General — Corporate Integrity Agreements
dataset_id: oig-cia
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —
CMS Penalties
source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties
dataset_id: cms-cmp
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T10:32:04.752Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —
Industry payments
None on file0 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: 2026-09-20T10:32:04.752Z
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: —
Order & referring eligibility
None on fileNo 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: 2026-09-20T10:32:04.752Z
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: —
Medicare opt-out
None on fileNo 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: 2026-09-20T10:32:04.752Z
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: —
Revalidation
On file1 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: 2026-09-20T10:32:04.752Z
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: —
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=…