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 | 1851388458 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1851388458","entity_type_code":"2"} |
| pac_id | 2668517491 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1851388458","rule":"D-PECOS","enrlmt_id":"O20100304000753","pecos_asct_cntl_id":"2668517491"} |
| pecos_enrlmt_id | O20100304000753 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1851388458","rule":"D-PECOS","enrlmt_id":"O20100304000753"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JULIE PHAM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"03/16/2000","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648412486","source_pk":88742,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | JANET MANDELBAUM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/02/2019","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"0941341648","source_pk":88745,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | FREMONT NF LLC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/01/1986","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254833841","source_pk":88748,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | HANSEN (OR) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951789437","source_pk":88749,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | ANNE LANDINGIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/16/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072015668","source_pk":88751,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | JOHN G DALIVA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476970773","source_pk":88753,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | SKILLSERVE INC (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587939145","source_pk":88755,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | MARIA CASTRO-GARCIA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2023","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"4688061286","source_pk":88757,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2023","percentage_ownership":25} evidence: {"rule":"D-OWNER","owner_pac":"4789079807","source_pk":88760,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":25,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | JOYCE REAL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/17/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981106572","source_pk":88761,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | RODOLFO S COSME | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/03/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799909545","source_pk":88763,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | ANALIZA HIDALGO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/21/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890297485","source_pk":88765,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | BRENDA MANDELBAUM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"11/22/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5890689046","source_pk":88767,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | ELIDEY SOLANO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/16/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709388390","source_pk":88768,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2023","percentage_ownership":15} evidence: {"rule":"D-OWNER","owner_pac":"7012373509","source_pk":88770,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":15,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | CARLOS RIOS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/15/2002","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517469109","source_pk":88771,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"11/22/2021","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"8224423348","source_pk":88773,"type_owner":"O","enrollment_id":"O20100304000753","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | ROBERTO FERNANDEZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426550013","source_pk":88774,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
| ← owns | CLINTON WILLIAMS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"05/04/2010","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931616521","source_pk":88776,"type_owner":"I","enrollment_id":"O20100304000753","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1851388458 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 | 2005-09-29 | 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 | COMMUNITY CONVALESCENT CENTER OF MONTCLAIR INC | 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 | CA | 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 1851388458: 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=…