{"entity":{"entity_id":"b06fe36d-af20-499c-8fc1-96e01ebc90fa","entity_type":"organization","display_name":"INDEPENDENCE COMMUNITY HEALTHCARE, LLC","state":"MO","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-10T18:46:58.207975+00:00","updated_at":"2026-06-10T18:46:58.207975+00:00"},"identifiers":[{"id_scheme":"npi","id_value":"1639940521","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1639940521","entity_type_code":"2"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-10T18:46:59.031631+00:00","recorded_at":"2026-06-10T18:46:59.031631+00:00"},{"id_scheme":"pac_id","id_value":"0749725570","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1639940521","rule":"D-PECOS","enrlmt_id":"O20240716003544","pecos_asct_cntl_id":"0749725570"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:06:52.143404+00:00","recorded_at":"2026-06-16T06:06:52.143404+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"O20240716003544","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1639940521","rule":"D-PECOS","enrlmt_id":"O20240716003544"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:06:52.143404+00:00","recorded_at":"2026-06-16T06:06:52.143404+00:00"}],"edges":[{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"607dfba9-d415-43eb-8159-67baf0046032","entity_type":"organization","display_name":"PROVIDENCE GROUP INC","state":"UT"},"attributes":{"role_code":"86","association_date":"08/02/2023","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0042458218","source_pk":256487,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"bfcc4e31-45b8-40dc-aa31-56e5725ddaa4","entity_type":"person","display_name":"DOMINIQUE MARTIN","state":null},"attributes":{"role_code":"43","association_date":"05/27/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0042733669","source_pk":256488,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"c2dd6534-4a48-4158-b345-b2335b99b81b","entity_type":"organization","display_name":"ZENZOO LLC","state":"UT"},"attributes":{"role_code":"72","association_date":"03/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0143742767","source_pk":256490,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"79fea3d1-d60f-47a7-a195-5693b58b4174","entity_type":"person","display_name":"JASON H MURRAY","state":null},"attributes":{"role_code":"41","association_date":"01/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0648228304","source_pk":256491,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"74de59d1-c873-4951-843e-352821d683f8","entity_type":"person","display_name":"JOHN T MITCHELL","state":null},"attributes":{"role_code":"40","association_date":"01/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0648429498","source_pk":256494,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"84f82f37-6fcd-4980-a01b-0726bfd5f37a","entity_type":"organization","display_name":"3980 SOUTH JACKSON DRIVE LLC","state":"UT"},"attributes":{"role_code":"72","association_date":"03/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"3678096211","source_pk":256496,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"d62ae47e-e145-480a-a896-614aa21310b6","entity_type":"person","display_name":"FREDERICK G APT","state":null},"attributes":{"role_code":"40","association_date":"01/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"4486043916","source_pk":256497,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"5a307f15-551d-428f-901a-c381dbd711ae","entity_type":"organization","display_name":"BLUEBIRD MASTER TENANT LLC","state":"UT"},"attributes":{"role_code":"85","association_date":"08/02/2023","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"5395280200","source_pk":256499,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"3dd2c219-ce91-444d-af41-385c214ac83c","entity_type":"organization","display_name":"PACS HOLDINGS, LLC","state":"UT"},"attributes":{"role_code":"86","association_date":"08/02/2023","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6103289202","source_pk":256500,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"4e7fb0f9-7096-41c3-926f-1152c7dde615","entity_type":"organization","display_name":"PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC","state":"UT"},"attributes":{"role_code":"72","association_date":"03/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6406094671","source_pk":256501,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"efe0a86b-574b-4bc7-bbe4-0879d2f95936","entity_type":"person","display_name":"JOSHUA O JERGENSEN","state":null},"attributes":{"role_code":"40","association_date":"01/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6800024092","source_pk":256502,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"a4372f99-9c94-4a0d-8b47-da55855a1d0a","entity_type":"organization","display_name":"PACS GROUP, INC.","state":"UT"},"attributes":{"role_code":"86","association_date":"08/02/2023","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7911360011","source_pk":256504,"type_owner":"O","enrollment_id":"O20240716003544","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"64e6af9d-6192-4e07-ac7d-693e4bfdd769","entity_type":"person","display_name":"HARRIS GREGSON LACHANCE","state":null},"attributes":{"role_code":"43","association_date":"04/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7911442751","source_pk":256505,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"c2ac61e2-f4e4-4c95-9a80-880177704d38","entity_type":"person","display_name":"MATTHEW BUSHMAN","state":null},"attributes":{"role_code":"43","association_date":"01/25/2025","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"8224551817","source_pk":256506,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"8df1e3a7-748f-4b81-b734-f22188816b55","entity_type":"person","display_name":"SOL ENRIQUEZ","state":"MO"},"attributes":{"role_code":"43","association_date":"12/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"8426008376","source_pk":256508,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"d5c0de52-7995-4e18-aaaf-ee8ba3b7efd8","entity_type":"person","display_name":"MARK D HANCOCK","state":null},"attributes":{"role_code":"41","association_date":"01/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"9830337005","source_pk":256510,"type_owner":"I","enrollment_id":"O20240716003544","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"INDEPENDENCE COMMUNITY HEALTHCARE LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:43:06.079375+00:00","recorded_at":"2026-06-16T06:43:06.079375+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}