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 | 1407560832 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1407560832","entity_type_code":"2"} |
| pac_id | 9335504778 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1407560832","rule":"D-PECOS","enrlmt_id":"O20230508001913","pecos_asct_cntl_id":"9335504778"} |
| pecos_enrlmt_id | O20230508001913 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1407560832","rule":"D-PECOS","enrlmt_id":"O20230508001913"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | YDN FAMILY GRANTOR TRUST (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2025","percentage_ownership":16.64} evidence: {"rule":"D-OWNER","owner_pac":"0042732257","source_pk":236058,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":16.64,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | IB MIMI 2022 FAMILY TRUST (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":9.82} evidence: {"rule":"D-OWNER","owner_pac":"0143685586","source_pk":236060,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.82,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | ML MILANO 2022 FAMILY TRUST (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":9.82} evidence: {"rule":"D-OWNER","owner_pac":"1052776499","source_pk":236061,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.82,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | REID HEWITT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1355562133","source_pk":236062,"type_owner":"I","enrollment_id":"O20230508001913","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | SCOTT FAIRBAIRN (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951302975","source_pk":236065,"type_owner":"I","enrollment_id":"O20230508001913","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | JK 2022 FAMILY TRUST (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":9.82} evidence: {"rule":"D-OWNER","owner_pac":"2961867304","source_pk":236067,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.82,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | LEON TARLOW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173804804","source_pk":236068,"type_owner":"I","enrollment_id":"O20230508001913","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | 3737 BRYANT AVENUE LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486178217","source_pk":236069,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | LAKE HARRIET OPERATOR HOLDINGS LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"05/01/2023","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"4880059229","source_pk":236070,"type_owner":"O","enrollment_id":"O20230508001913","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":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | SSHG FAMILY GRANTOR TRUST (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2025","percentage_ownership":16.64} evidence: {"rule":"D-OWNER","owner_pac":"5597287714","source_pk":236071,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":16.64,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | CCP MN HOLDINGS, LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":32.5} evidence: {"rule":"D-OWNER","owner_pac":"5698130037","source_pk":236073,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":32.5,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | MN HOLDINGS 101 LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":35} evidence: {"rule":"D-OWNER","owner_pac":"6507221942","source_pk":236074,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":35,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | MN V ASSOCIATES LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":32.5} evidence: {"rule":"D-OWNER","owner_pac":"6608231048","source_pk":236075,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":32.5,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | REUVEN KNOBEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315384161","source_pk":236076,"type_owner":"I","enrollment_id":"O20230508001913","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | MIMI HOLDCO LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":10.33} evidence: {"rule":"D-OWNER","owner_pac":"7416312855","source_pk":236077,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.33,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | LIGHTHOUSE HOLDINGS 2016, LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":17.5} evidence: {"rule":"D-OWNER","owner_pac":"8224493663","source_pk":236078,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.5,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | GLEN HOLDCO LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":10.33} evidence: {"rule":"D-OWNER","owner_pac":"8325403769","source_pk":236079,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.33,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | HARMONY HOLDINGS 2005, LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":17.5} evidence: {"rule":"D-OWNER","owner_pac":"9133584576","source_pk":236080,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.5,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
| ← owns | HIGHVIEW HOLDCO LLC (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"05/01/2023","percentage_ownership":10.33} evidence: {"rule":"D-OWNER","owner_pac":"9234594672","source_pk":236081,"type_owner":"O","enrollment_id":"O20230508001913","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.33,"enrollment_organization_name":"LAKE HARRIET OPERATOR LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1407560832 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2023-01-10 | 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 | LAKE HARRIET OPERATOR 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 | MN | 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 1407560832: 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=…