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 | 1356713655 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1356713655","entity_type_code":"2"} |
| pac_id | 3173823630 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1356713655","rule":"D-PECOS","enrlmt_id":"O20151204002542","pecos_asct_cntl_id":"3173823630"} |
| pecos_enrlmt_id | O20151204002542 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1356713655","rule":"D-PECOS","enrlmt_id":"O20151204002542"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | LAKEFRONT PROPERTY HOLDINGS, LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"11/06/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0244723500","source_pk":153707,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | BETIM RIZVANI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/30/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951894211","source_pk":153709,"type_owner":"I","enrollment_id":"O20151204002542","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | MENACHEM SHABAT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/03/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072526219","source_pk":153711,"type_owner":"I","enrollment_id":"O20151204002542","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | ROTH & CO, LLP (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173053162","source_pk":153714,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 4880187145 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/06/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880187145","source_pk":153715,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/03/2017","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"5294988994","source_pk":153716,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 5698268951 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/06/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698268951","source_pk":153717,"type_owner":"I","enrollment_id":"O20151204002542","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | LEGACY HEALTHCARE FINANCIAL SERVICES LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/06/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799046132","source_pk":153718,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | DOROS GENERATION TRUST U/A/D 1/3/12 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/03/2017","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"6901110428","source_pk":153720,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | VNB NEW YORK LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"03/07/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8325373111","source_pk":153721,"type_owner":"O","enrollment_id":"O20151204002542","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | YAKOV RYABOV (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/06/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628021649","source_pk":153723,"type_owner":"I","enrollment_id":"O20151204002542","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 9133612492 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/06/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133612492","source_pk":153725,"type_owner":"I","enrollment_id":"O20151204002542","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKEFRONT SKILLED NURSING FACILITY LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1356713655 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 | 2015-10-26 | 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 | LAKEFRONT SKILLED NURSING FACILITY 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 | IL | 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 1356713655: 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=…