{"entity":{"entity_id":"5d51d8d0-00dc-4f78-b3e6-e9b9b877f529","entity_type":"organization","display_name":"LICKING NO 1 LLC","state":"MO","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-10T19:28:58.71152+00:00","updated_at":"2026-06-10T19:28:58.71152+00:00"},"identifiers":[{"id_scheme":"npi","id_value":"1912424607","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1912424607","entity_type_code":"2"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-10T19:28:59.499776+00:00","recorded_at":"2026-06-10T19:28:59.499776+00:00"},{"id_scheme":"pac_id","id_value":"0345507521","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1912424607","rule":"D-PECOS","enrlmt_id":"O20171122002453","pecos_asct_cntl_id":"0345507521"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T05:45:54.01378+00:00","recorded_at":"2026-06-16T05:45:54.01378+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"O20171122002453","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1912424607","rule":"D-PECOS","enrlmt_id":"O20171122002453"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T05:45:54.01378+00:00","recorded_at":"2026-06-16T05:45:54.01378+00:00"}],"edges":[{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"c3a3aa62-1953-4f1c-83d3-7c5e3286bea7","entity_type":"person","display_name":"JONATHAN BEERS","state":"MO"},"attributes":{"role_code":"43","association_date":"09/01/2024","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0244419851","source_pk":174329,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"304c0a42-ecae-43e2-8f40-7b0c83670e60","entity_type":"person","display_name":"OWNER PAC 0941717219","state":null},"attributes":{"role_code":"72","association_date":"01/01/2000","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"0941717219","source_pk":174331,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"724af140-05f2-4419-8363-e60229171885","entity_type":"organization","display_name":"SOVEREIGN HEALTHCARE GROUP LLC","state":"MO"},"attributes":{"role_code":"43","association_date":"04/23/2021","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"2365827185","source_pk":174332,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"665ddd1c-4ddd-427c-99b9-2b5a38aa25b3","entity_type":"organization","display_name":"FG LLC","state":"MO"},"attributes":{"role_code":"72","association_date":"08/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"2668991068","source_pk":174334,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"81baecb3-b72d-4c68-8b9b-7995ff4b8c31","entity_type":"organization","display_name":"MID STATES INC","state":"MO"},"attributes":{"role_code":"72","association_date":"08/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"2769901164","source_pk":174335,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"65e062a9-da59-459d-9830-5b6145d8a8ae","entity_type":"organization","display_name":"VAN DE VEN LLC","state":"MO"},"attributes":{"role_code":"72","association_date":"08/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"3577082973","source_pk":174336,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"c2aeb375-9d5b-4a45-a7b1-ef0786ea9bcd","entity_type":"person","display_name":"OWNER PAC 3678080942","state":null},"attributes":{"role_code":"72","association_date":"01/01/2000","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"3678080942","source_pk":174337,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"1dfaa247-5441-4304-a966-5a7d3267a137","entity_type":"person","display_name":"TODD BEAIRD","state":null},"attributes":{"role_code":"43","association_date":"01/01/2022","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"4789079096","source_pk":174338,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"4bf3e6c1-7eba-4d0d-a7bd-583b75295c15","entity_type":"person","display_name":"DONALD B BEDELL","state":null},"attributes":{"role_code":"43","association_date":"05/24/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"5092623827","source_pk":174340,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"2a9c3b6f-7fca-4063-a378-898f90eac1c8","entity_type":"person","display_name":"ANGIE WARNER","state":null},"attributes":{"role_code":"43","association_date":"06/16/2023","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"5496262768","source_pk":174341,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"27879214-7a7c-4ef2-89ce-f3bd64967fde","entity_type":"organization","display_name":"THE LICKING EXEMPT TRUST","state":"MO"},"attributes":{"role_code":"71","association_date":"05/24/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"5597022715","source_pk":174343,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"71","role_text_owner":"TRUSTEE OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"ae329deb-60ca-4e11-9429-eea79e710b5b","entity_type":"person","display_name":"TINA CAUDILL","state":null},"attributes":{"role_code":"43","association_date":"01/15/2026","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6901383744","source_pk":174345,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"3f2198bf-ff4b-44d0-8ce7-2a9eb2204faf","entity_type":"organization","display_name":"FORVIS MAZARS LLP","state":"MO"},"attributes":{"role_code":"72","association_date":"08/16/2021","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7416866603","source_pk":174347,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"a1937444-3b56-40fd-b43e-492f9ad04d94","entity_type":"organization","display_name":"AGH1 LLC","state":"MO"},"attributes":{"role_code":"43","association_date":"08/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"8123547528","source_pk":174348,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"75e6867b-a20f-4e28-acc0-4a53a8121aa1","entity_type":"organization","display_name":"THE CITY OF LICKING","state":"MO"},"attributes":{"role_code":"72","association_date":"08/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"9133636400","source_pk":174350,"type_owner":"O","enrollment_id":"O20171122002453","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"},{"direction":"inbound","edge_type":"owns","neighbor":{"entity_id":"119bb0e1-b76a-490d-bb1e-2289a833cb6d","entity_type":"person","display_name":"LINDI DIANA SCHMITT","state":null},"attributes":{"role_code":"43","association_date":"11/27/2023","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"9830606102","source_pk":174351,"type_owner":"I","enrollment_id":"O20171122002453","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LICKING NO 1 LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:32:58.731971+00:00","recorded_at":"2026-06-16T06:32:58.731971+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}