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 | 1801991534 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1801991534","entity_type_code":"2"} |
| pac_id | 5395654560 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1801991534","rule":"D-PECOS","enrlmt_id":"O20030320000033","pecos_asct_cntl_id":"5395654560"} |
| pecos_enrlmt_id | O20030320000033 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1801991534","rule":"D-PECOS","enrlmt_id":"O20030320000033"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | KRISTY DEROIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244531754","source_pk":3664,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | BRIDGES ESOP, INC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/31/2020","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0648660134","source_pk":3666,"type_owner":"O","enrollment_id":"O20030320000033","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":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | ORIX REAL ESTATE CAPITAL LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"10/01/2014","percentage_ownership":60} evidence: {"rule":"D-OWNER","owner_pac":"1355772567","source_pk":3667,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":60,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | FLP, L.L.C. (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062905490","source_pk":3668,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/31/2020","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2466842950","source_pk":3669,"type_owner":"O","enrollment_id":"O20030320000033","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":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | WILLIAM GRIFFIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2860860434","source_pk":3670,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | MICHAEL A BOONE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678751849","source_pk":3672,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | BETHLINWOOD, LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/1998","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688168164","source_pk":3674,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | WILLIAM BRETT COBLE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/31/2020","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4688733926","source_pk":3675,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | MAGESH SATHAIAH (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6800105412","source_pk":3677,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | AMITY CARE, LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315856580","source_pk":3679,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | DENNIS LONG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911409610","source_pk":3680,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | ROBERT DUNCAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/02/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426562760","source_pk":3681,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | RENEW PROPERTIES, LLC (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921592486","source_pk":3682,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | AUTUMN CALFE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032603519","source_pk":3683,"type_owner":"I","enrollment_id":"O20030320000033","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
| ← owns | KENNETH D. GREINER III REVOCABLE TRUST (OK) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"12/31/2020","percentage_ownership":11.5} evidence: {"rule":"D-OWNER","owner_pac":"9234550096","source_pk":3685,"type_owner":"O","enrollment_id":"O20030320000033","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.5,"enrollment_organization_name":"PUTNAM CITY CONVALESCENT CENTER, LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1801991534 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 | 2006-09-14 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | PUTNAM CITY CONVALESCENT CENTER, 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 | OK | 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 1801991534: 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=…