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 | 1558362087 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1558362087","entity_type_code":"2"} |
| pac_id | 5698819746 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1558362087","rule":"D-PECOS","enrlmt_id":"O20100212000691","pecos_asct_cntl_id":"5698819746"} |
| pecos_enrlmt_id | O20100212000691 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1558362087","rule":"D-PECOS","enrlmt_id":"O20100212000691"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JACOB BOWER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/26/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547776718","source_pk":88009,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | SCOTT BARNES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/16/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648786814","source_pk":88011,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | RONNIE CROUCH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749796910","source_pk":88013,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | ERIKA PORTILLO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/05/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456867621","source_pk":88016,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | PHILLIP HOOD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/21/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557877727","source_pk":88018,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | PAUL WIESE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/21/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658887823","source_pk":88020,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | SUSAN BARTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/02/2000","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365958535","source_pk":88022,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | JERRY RIBBING | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/20/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466968631","source_pk":88023,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | DEBI HERNDON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/17/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567978737","source_pk":88025,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | TAMMY BICKFORD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/31/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274049440","source_pk":88027,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | KAITLIN FAUCETT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183130354","source_pk":88029,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | DANIELLE PAUDA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/22/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284140450","source_pk":88030,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | CHARLES BURTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092221267","source_pk":88032,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | JOEL JUSTUS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/19/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294241469","source_pk":88033,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | AEGIS THERAPIES, INC. (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204746860","source_pk":88035,"type_owner":"O","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | HELEN GAROUTTE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901312172","source_pk":88036,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | DBA DIETARY CONSULTANTS OF SOUTHWEST MISSOURI (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/18/1999","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012423288","source_pk":88037,"type_owner":"O","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | FORVIS MAZARS LLP (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/28/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416866603","source_pk":88038,"type_owner":"O","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | MELISSA WEBB | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810403086","source_pk":88039,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | TIM RICE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/16/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911413182","source_pk":88041,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | FERNANDO CAVERO (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224082482","source_pk":88043,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | ASHLEY HENDRIX | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/02/2014","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8729594999","source_pk":88044,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | WADE ROGERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820504095","source_pk":88046,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | WANDA WEST | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/16/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638244114","source_pk":88048,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
| ← owns | GARY TIPPETT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/16/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9739695909","source_pk":88049,"type_owner":"I","enrollment_id":"O20100212000691","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LACOBA HOMES INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1558362087 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2005-08-09 | 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 | LACOBA HOMES INC | 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 | MO | 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 1558362087: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…