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 | 1417845215 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1417845215","entity_type_code":"2"} |
| pac_id | 7113418856 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1417845215","rule":"D-PECOS","enrlmt_id":"O20251111001950","pecos_asct_cntl_id":"7113418856"} |
| pecos_enrlmt_id | O20251111001950 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1417845215","rule":"D-PECOS","enrlmt_id":"O20251111001950"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | TX SNF HOLDINGS MEMBER, LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0749708774","source_pk":279313,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | FAIGY GOLDBERGER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":59.8} evidence: {"rule":"D-OWNER","owner_pac":"0941564421","source_pk":279314,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":59.8,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | GRAF HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":65} evidence: {"rule":"D-OWNER","owner_pac":"2466807375","source_pk":279315,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":65,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | ANA TX HOLDINGS, LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":35} evidence: {"rule":"D-OWNER","owner_pac":"3476071408","source_pk":279316,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":35,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | 4300 VISTA RD HOLDINGS LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"08/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3577054212","source_pk":279317,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | NOCHUM FREUND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870870553","source_pk":279318,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | 4300 VISTA RD PROPERTY OWNER LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486145125","source_pk":279321,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | AMITAI DAGAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":9.99} evidence: {"rule":"D-OWNER","owner_pac":"4789004714","source_pk":279322,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.99,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | KIMBERLY A WEATHERS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880951599","source_pk":279323,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | AARON TRAVITSKY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092233023","source_pk":279325,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | WELLTOWER NNN GROUP, LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103344130","source_pk":279327,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | THANDAVARAJAN GOPALAKRISHNAN (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305834789","source_pk":279328,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | WELLTOWER OP, LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517340771","source_pk":279330,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | ABRAHAM GOLDBERGER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":5.2} evidence: {"rule":"D-OWNER","owner_pac":"8820535636","source_pk":279331,"type_owner":"I","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":5.2,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | WELLTOWER INC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921039223","source_pk":279332,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD OPCO LLC"} |
| ← owns | TX SNF HOLDINGS II LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"08/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537656202","source_pk":279333,"type_owner":"O","enrollment_id":"O20251111001950","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"4300 VISTA RD 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 · 1417845215 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2025-06-27 | 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 | 4300 VISTA RD 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 | TX | 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 1417845215: 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=…