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 | 1215663240 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1215663240","entity_type_code":"2"} |
| pac_id | 4284017476 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215663240","rule":"D-PECOS","enrlmt_id":"O20220822001179","pecos_asct_cntl_id":"4284017476"} |
| pecos_enrlmt_id | O20220822001179 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215663240","rule":"D-PECOS","enrlmt_id":"O20220822001179"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | CKSST HOLDING COMPANY LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"08/01/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0143744649","source_pk":224895,"type_owner":"O","enrollment_id":"O20220822001179","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":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | BAHIGE ASAKER (MA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456326982","source_pk":224896,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | OWNER PAC 1850884032 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850884032","source_pk":224898,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | YAAKOV D CHAPLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"08/01/2022","percentage_ownership":33.33} evidence: {"rule":"D-OWNER","owner_pac":"1951681022","source_pk":224899,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.33,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | SAMI AL-MADI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668482332","source_pk":224903,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | TWOMAGNETS LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/10/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678093127","source_pk":224905,"type_owner":"O","enrollment_id":"O20220822001179","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | OWNER PAC 3779076955 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779076955","source_pk":224907,"type_owner":"O","enrollment_id":"O20220822001179","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | NANCY ZRAIZAA G | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688167869","source_pk":224908,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | OWNER PAC 7214420496 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214420496","source_pk":224910,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | BONADIO & CO LLP (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8527592872","source_pk":224911,"type_owner":"O","enrollment_id":"O20220822001179","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | OWNER PAC 9032602214 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032602214","source_pk":224912,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
| ← owns | MOSHE STEINBERG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"08/01/2022","percentage_ownership":66.67} evidence: {"rule":"D-OWNER","owner_pac":"9436461738","source_pk":224913,"type_owner":"I","enrollment_id":"O20220822001179","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":66.67,"enrollment_organization_name":"GUARDIAN SNF OPERATIONS BHC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1215663240 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2022-08-01 | 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 | GUARDIAN SNF OPERATIONS BHC | 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 | MA | 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 1215663240: 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=…