{"entity":{"entity_id":"042124b9-789f-45b3-a379-681cb89858ce","entity_type":"organization","display_name":"PROVIDENCE SNF OPERATOR LLC","state":"GA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-10T16:33:53.24928+00:00","updated_at":"2026-06-10T16:33:53.24928+00:00"},"identifiers":[{"id_scheme":"npi","id_value":"1114448271","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1114448271","entity_type_code":"2"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-10T16:33:54.08704+00:00","recorded_at":"2026-06-10T16:33:54.08704+00:00"},{"id_scheme":"pac_id","id_value":"3779841143","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1114448271","rule":"D-PECOS","enrlmt_id":"O20171213002392","pecos_asct_cntl_id":"3779841143"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T05:46:03.025372+00:00","recorded_at":"2026-06-16T05:46:03.025372+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"O20171213002392","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1114448271","rule":"D-PECOS","enrlmt_id":"O20171213002392"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T05:46:03.025372+00:00","recorded_at":"2026-06-16T05:46:03.025372+00:00"}],"edges":[{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"2113df6a-bf99-4286-9a02-45a21e6c133f","entity_type":"person","display_name":"ELISA HOLIDAY","state":null},"attributes":{"role_code":"42","association_date":"03/14/2022","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0749350866","source_pk":174925,"type_owner":"I","enrollment_id":"O20171213002392","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PROVIDENCE SNF OPERATOR LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:59.392097+00:00","recorded_at":"2026-06-16T06:32:59.392097+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"723579f3-2636-4ad8-821b-1927e12a2906","entity_type":"person","display_name":"BRUCE E WERTHEIM","state":null},"attributes":{"role_code":"35","association_date":"09/01/2017","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"1254242340","source_pk":174926,"type_owner":"I","enrollment_id":"O20171213002392","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":"PROVIDENCE SNF OPERATOR LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:59.392097+00:00","recorded_at":"2026-06-16T06:32:59.392097+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"cc14d1be-846a-4c71-a94a-1caad30c09a9","entity_type":"organization","display_name":"PWW HEALTHCARE, LLC","state":"FL"},"attributes":{"role_code":"34","association_date":"09/01/2017","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"3072837590","source_pk":174928,"type_owner":"O","enrollment_id":"O20171213002392","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":"PROVIDENCE SNF OPERATOR LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:59.392097+00:00","recorded_at":"2026-06-16T06:32:59.392097+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"c678ac98-b2aa-4e3f-8ae6-cf1240ae4cef","entity_type":"organization","display_name":"BEACON HEALTH MANAGEMENT LLC","state":"FL"},"attributes":{"role_code":"43","association_date":"09/01/2017","percentage_ownership":100},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"9830339019","source_pk":174929,"type_owner":"O","enrollment_id":"O20171213002392","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PROVIDENCE SNF OPERATOR LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:59.392097+00:00","recorded_at":"2026-06-16T06:32:59.392097+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}