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 | 1073783544 | nppes_providers | deterministic_pk | 1.000 | 2026-06-11 | evidencerecorded: 2026-06-11 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1073783544","entity_type_code":"1"} |
| pac_id | 4688640295 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1073783544","rule":"D-PECOS","enrlmt_id":"I20040904000129","pecos_asct_cntl_id":"4688640295"} |
| pecos_enrlmt_id | I20040904000129 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1073783544","rule":"D-PECOS","enrlmt_id":"I20040904000129"} |
| pecos_enrlmt_id | I20101118000750 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1073783544","rule":"D-PECOS","enrlmt_id":"I20101118000750"} |
| pecos_enrlmt_id | I20190313000098 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-15 | evidencerecorded: 2026-06-15 methodology: entity-graph/v1 evidence: {"npi":"1073783544","rule":"D-PECOS","enrlmt_id":"I20190313000098"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| owns → | CARMI MANOR REHABILITATION AND NURSING CENTER LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/2015","percentage_ownership":15} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":153859,"type_owner":"I","enrollment_id":"O20151208003383","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":15,"enrollment_organization_name":"CARMI MANOR REHABILITATION AND NURSING CENTER LLC"} |
| owns → | GALLATIN MANOR LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/01/2017","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":175045,"type_owner":"I","enrollment_id":"O20171218001695","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"GALLATIN MANOR LLC"} |
| owns → | BRIDGEPARK OPERATIONS, LLC (MD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/01/2018","percentage_ownership":5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":179343,"type_owner":"I","enrollment_id":"O20180605000286","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":5,"enrollment_organization_name":"BRIDGEPARK OPERATIONS, LLC"} |
| owns → | MERCER MANOR REHABILITATION LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"06/01/2019","percentage_ownership":12} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":191265,"type_owner":"I","enrollment_id":"O20190617003017","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":12,"enrollment_organization_name":"MERCER MANOR REHABILITATION LLC"} |
| owns → | MARSHALL REHABILITATION AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"08/01/2019","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":192776,"type_owner":"I","enrollment_id":"O20190816002111","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"MARSHALL REHABILITATION AND NURSING LLC"} |
| owns → | LACON REHAB AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"07/15/2020","percentage_ownership":13.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":202494,"type_owner":"I","enrollment_id":"O20200630000284","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":13.5,"enrollment_organization_name":"LACON REHAB AND NURSING LLC"} |
| owns → | HENRY REHAB AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/01/2021","percentage_ownership":11.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":210908,"type_owner":"I","enrollment_id":"O20210706000605","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.5,"enrollment_organization_name":"HENRY REHAB AND NURSING LLC"} |
| owns → | MACOMB POST ACUTE CARE CENTER LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/01/2021","percentage_ownership":11.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":210955,"type_owner":"I","enrollment_id":"O20210706000661","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.5,"enrollment_organization_name":"MACOMB POST ACUTE CARE CENTER LLC"} |
| owns → | ROBINSON REHAB AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"02/01/2022","percentage_ownership":8} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":218269,"type_owner":"I","enrollment_id":"O20220218000127","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8,"enrollment_organization_name":"ROBINSON REHAB AND NURSING LLC"} |
| owns → | ANDOVER FOREST POST ACUTE CARE CENTER LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":244901,"type_owner":"I","enrollment_id":"O20231023000666","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ANDOVER FOREST POST ACUTE CARE CENTER LLC"} |
| owns → | ANDOVER MANOR REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":244966,"type_owner":"I","enrollment_id":"O20231023001221","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"ANDOVER MANOR REHAB AND NURSING LLC"} |
| owns → | AGAWAM EAST REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":245094,"type_owner":"I","enrollment_id":"O20231024001066","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"AGAWAM EAST REHAB AND NURSING LLC"} |
| owns → | AGAWAM SOUTH REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":245261,"type_owner":"I","enrollment_id":"O20231024003832","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"AGAWAM SOUTH REHAB AND NURSING LLC"} |
| owns → | AGAWAM WEST REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"09/01/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":245373,"type_owner":"I","enrollment_id":"O20231025000781","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"AGAWAM WEST REHAB AND NURSING LLC"} |
| owns → | AYER VALLEY REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":245966,"type_owner":"I","enrollment_id":"O20231030003450","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"AYER VALLEY REHAB AND NURSING LLC"} |
| owns → | AGAWAM NORTH REHAB AND NURSING LLC (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/16/2023","percentage_ownership":9} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":246047,"type_owner":"I","enrollment_id":"O20231031001045","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9,"enrollment_organization_name":"AGAWAM NORTH REHAB AND NURSING LLC"} |
| owns → | TWIN LAKES EXTENDED CARE LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/01/2024","percentage_ownership":4.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":267106,"type_owner":"I","enrollment_id":"O20250305002834","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.5,"enrollment_organization_name":"TWIN LAKES EXTENDED CARE LLC"} |
| owns → | CASEY REHAB AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/01/2024","percentage_ownership":4.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":269054,"type_owner":"I","enrollment_id":"O20250404000033","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.5,"enrollment_organization_name":"CASEY REHAB AND NURSING LLC"} |
| owns → | COUNTRYSIDE CARE CENTER LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"12/01/2024","percentage_ownership":4.5} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":270124,"type_owner":"I","enrollment_id":"O20250428002212","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.5,"enrollment_organization_name":"COUNTRYSIDE CARE CENTER LLC"} |
| owns → | SPRINGFIELD SUITES REHAB AND NURSING LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688640295","source_pk":271649,"type_owner":"I","enrollment_id":"O20250521002478","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SPRINGFIELD SUITES REHAB AND NURSING LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1073783544 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2008-03-11 | 2026-06-11 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| first_name | BEZALEL | 2026-06-11 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| last_name | STERN | 2026-06-11 | 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 | NY | 2026-06-11 | 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 | 225100000X | 2026-06-11 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| years_active | 17 years | 2026-06-11 | 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 1073783544: 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 file3 Medicare enrollment records 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=…