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 | 1205644150 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1205644150","entity_type_code":"2"} |
| pac_id | 3476054495 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1205644150","rule":"D-PECOS","enrlmt_id":"O20250831000434","pecos_asct_cntl_id":"3476054495"} |
| pecos_enrlmt_id | O20250831000434 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1205644150","rule":"D-PECOS","enrlmt_id":"O20250831000434"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | LORI REID | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547761561","source_pk":277067,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | SYNERGY HEALTHCARE SERVICES (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557862570","source_pk":277069,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | NU C II IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"1951813187","source_pk":277070,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | OWNER PAC 2466953484 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/26/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466953484","source_pk":277071,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | ROBERT WALTERS (VA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668559337","source_pk":277072,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | CARE.AI (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375044399","source_pk":277074,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | SNF CARE CENTERS LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3870005002","source_pk":277075,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | OWNER PAC 4284135203 (RI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284135203","source_pk":277076,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | WILLIAMSBURG PARENTCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4385145309","source_pk":277077,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | SNF MGR LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688186810","source_pk":277078,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | OWNER PAC 5193226116 (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193226116","source_pk":277080,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | JAMES CITY HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5294236212","source_pk":277081,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | SEBASTIAN ADAMS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496087009","source_pk":277082,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | VAOP HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5496261406","source_pk":277084,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | ZENITH HOLDCO II LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5698287829","source_pk":277085,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | TIFFANY HOBACK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315391984","source_pk":277086,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | ZENITH HOLDCO LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7315459542","source_pk":277089,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | TEQUILLA JONES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022520253","source_pk":277090,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | DANIEL MORGAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426325093","source_pk":277092,"type_owner":"I","enrollment_id":"O20250831000434","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
| ← owns | NU C IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"9133631369","source_pk":277095,"type_owner":"O","enrollment_id":"O20250831000434","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"1811 JAMESTOWN ROAD OPCO LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1205644150 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 | 2024-12-24 | 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 | 1811 JAMESTOWN ROAD OPCO 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 | VA | 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 1205644150: 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=…