TERMINAL · ENTITY CARD · ORGANIZATION

EVERGREEN HEALTH AND REHABILITATION CENTER, LLC

Canonical entity in the resolved graph · MI · methodology entity-graph/v1 · 454b65d8-b434-4d4b-bb96-13da86b2b441

active

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.

Current identifier attachments with link confidence
Scheme	Value	Source table	Link method	Confidence	Since	Provenance
npi	1003812181	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1003812181","entity_type_code":"2"}
pac_id	3274661087	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1003812181","rule":"D-PECOS","enrlmt_id":"O20100514000167","pecos_asct_cntl_id":"3274661087"}
pecos_enrlmt_id	O20100514000167	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1003812181","rule":"D-PECOS","enrlmt_id":"O20100514000167"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
Relationship	Entity	Confidence	Source table	Provenance
← owns	OWNER PAC 0244737815 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"0244737815","source_pk":91343,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":7.5} evidence: {"rule":"D-OWNER","owner_pac":"0547645871","source_pk":91344,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7.5,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0648777227	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.17} evidence: {"rule":"D-OWNER","owner_pac":"0648777227","source_pk":91346,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.17,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0749787323	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"0749787323","source_pk":91347,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0840797429	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.07} evidence: {"rule":"D-OWNER","owner_pac":"0840797429","source_pk":91348,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.07,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":30} evidence: {"rule":"D-OWNER","owner_pac":"0941700942","source_pk":91349,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":30,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0941707525	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.2} evidence: {"rule":"D-OWNER","owner_pac":"0941707525","source_pk":91351,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.2,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1456858034	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456858034","source_pk":91352,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	CLIFTONLARSONALLEN LLP (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456885441","source_pk":91353,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1658878228 (MD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.3} evidence: {"rule":"D-OWNER","owner_pac":"1658878228","source_pk":91354,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.3,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1759888324 (VA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"1759888324","source_pk":91355,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1850898420	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.21} evidence: {"rule":"D-OWNER","owner_pac":"1850898420","source_pk":91356,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.21,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OPTUM MANAGEMENT SOLUTIONS. INC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062845829","source_pk":91357,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	SNW LLC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":30} evidence: {"rule":"D-OWNER","owner_pac":"2466837794","source_pk":91360,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":30,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2466959044	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"2466959044","source_pk":91362,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2567969140	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.17} evidence: {"rule":"D-OWNER","owner_pac":"2567969140","source_pk":91363,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.17,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2668979220 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"2668979220","source_pk":91364,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2668979246	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"2668979246","source_pk":91365,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2769989342	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"2769989342","source_pk":91366,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	KHALED IMAM (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375687338","source_pk":91367,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	PAAR 108 LLC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":30} evidence: {"rule":"D-OWNER","owner_pac":"3375928609","source_pk":91369,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":30,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 3577060144 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":1.53} evidence: {"rule":"D-OWNER","owner_pac":"3577060144","source_pk":91371,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.53,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 3779080346	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.07} evidence: {"rule":"D-OWNER","owner_pac":"3779080346","source_pk":91372,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.07,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	MERCHANTS BANK OF INDIANA (IN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"09/01/2019","percentage_ownership":80} evidence: {"rule":"D-OWNER","owner_pac":"3779083779","source_pk":91373,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":80,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OPTALIS LP INVESTORS 1, LLC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"3870093867","source_pk":91374,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	CHARLES FRANKLIN LLC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":30} evidence: {"rule":"D-OWNER","owner_pac":"4284019514","source_pk":91376,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":30,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4284131863	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/19/2019","percentage_ownership":0.3} evidence: {"rule":"D-OWNER","owner_pac":"4284131863","source_pk":91378,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.3,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4385141951 (CT)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"4385141951","source_pk":91379,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4385141969	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.11} evidence: {"rule":"D-OWNER","owner_pac":"4385141969","source_pk":91380,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.11,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4486151040 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"4486151040","source_pk":91381,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4486151065	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"4486151065","source_pk":91382,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4587161153	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"4587161153","source_pk":91383,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4587161161	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.17} evidence: {"rule":"D-OWNER","owner_pac":"4587161161","source_pk":91384,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.17,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	HEMANT SHAH 2018 IRREVOCABLE TRUST (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":29.7} evidence: {"rule":"D-OWNER","owner_pac":"5193100428","source_pk":91385,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":29.7,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5395242960 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.23} evidence: {"rule":"D-OWNER","owner_pac":"5395242960","source_pk":91387,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.23,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5597262162	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"5597262162","source_pk":91388,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5890292460 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890292460","source_pk":91389,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	RAJAN PATEL	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002020146","source_pk":91390,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":7.5} evidence: {"rule":"D-OWNER","owner_pac":"6002291333","source_pk":91392,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7.5,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6103323779 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.17} evidence: {"rule":"D-OWNER","owner_pac":"6103323779","source_pk":91394,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.17,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6103323787	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"6103323787","source_pk":91395,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6204333867 (GA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"6204333867","source_pk":91396,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6204333883	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"6204333883","source_pk":91397,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6305343971	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"6305343971","source_pk":91398,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6305343989	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.33} evidence: {"rule":"D-OWNER","owner_pac":"6305343989","source_pk":91399,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.33,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6507363173	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"6507363173","source_pk":91400,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARIANNE B CONNER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/13/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608930672","source_pk":91401,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 7012414683 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"7012414683","source_pk":91402,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 7214434885	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.13} evidence: {"rule":"D-OWNER","owner_pac":"7214434885","source_pk":91403,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.13,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	EAST WEST BANK (CA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"09/01/2019","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"7517190077","source_pk":91404,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8022515600	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"8022515600","source_pk":91405,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8123525706	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.4} evidence: {"rule":"D-OWNER","owner_pac":"8123525706","source_pk":91406,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.4,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8224535893	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.33} evidence: {"rule":"D-OWNER","owner_pac":"8224535893","source_pk":91407,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.33,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":7.5} evidence: {"rule":"D-OWNER","owner_pac":"8729463054","source_pk":91408,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7.5,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8820595408	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.08} evidence: {"rule":"D-OWNER","owner_pac":"8820595408","source_pk":91410,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.08,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8820595499 (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":1.4} evidence: {"rule":"D-OWNER","owner_pac":"8820595499","source_pk":91411,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.4,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	KERI SIKORA	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/31/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032529763","source_pk":91412,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9032616602	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"9032616602","source_pk":91414,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OM HOLDCO, LLC (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"09/01/2019","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9335572197","source_pk":91415,"type_owner":"O","enrollment_id":"O20100514000167","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":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	LYUDMILA GOUROV	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/07/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638676216","source_pk":91417,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL (MI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/01/2019","percentage_ownership":7.5} evidence: {"rule":"D-OWNER","owner_pac":"9739564063","source_pk":91418,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7.5,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	ROBERT SHARON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/13/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830517457","source_pk":91420,"type_owner":"I","enrollment_id":"O20100514000167","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9830696400 (AZ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.38} evidence: {"rule":"D-OWNER","owner_pac":"9830696400","source_pk":91423,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.38,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9931606506 (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"09/01/2019","percentage_ownership":0.07} evidence: {"rule":"D-OWNER","owner_pac":"9931606506","source_pk":91424,"type_owner":"O","enrollment_id":"O20100514000167","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.07,"enrollment_organization_name":"EVERGREEN HEALTH AND REHABILITATION CENTER LLC"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1003812181 JSON

Current claims for org 1003812181
Metric	Value	Asserted	Source
dba_name	<UNAVAIL>	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
enumeration_date	2005-06-23	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
legal_business_name	EVERGREEN HEALTH AND REHABILITATION CENTER, LLC	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
practice_state	MI	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
primary_taxonomy	314000000X	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1003812181: 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 stale

Exclusion 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.

Source:OIG LEIE +25 moreChecked 2026-09-20

14-tuple provenance (26)

OIG LEIE

source: HHS Office of Inspector General (LEIE)

dataset_id: oig-leie

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1977-10-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

SAM.gov Exclusions

source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)

dataset_id: sam-gov-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2012-07-30

coverage_end: ongoing

slsa_provenance_url: —

upstream source

NY Medicaid (OMIG)

source: NY Office of the Medicaid Inspector General (OMIG)

dataset_id: ny-omig-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NY-OMIG-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OH Medicaid (ODM)

source: Ohio Department of Medicaid (ODM)

dataset_id: oh-odm-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: OH-ODM-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

GA Medicaid (DCH OIG)

source: Georgia DCH Office of Inspector General

dataset_id: ga-dch-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: GA-DCH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

PA Medicaid (Medicheck)

source: Pennsylvania Department of Human Services (DHS)

dataset_id: pa-dhs-medicheck

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: PA-DHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NC Medicaid (DHHS)

source: NC DHHS, Division of Health Benefits (NC Medicaid)

dataset_id: nc-dhhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NC-DHHS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MD Medicaid

source: Maryland Department of Health (MDH)

dataset_id: md-mdh-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MD-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

WA Medicaid

source: Washington State Health Care Authority (HCA)

dataset_id: wa-hca-termination-exclusion

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: WA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IA Medicaid

source: Iowa Health and Human Services (Iowa Medicaid)

dataset_id: ia-medicaid-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MS Medicaid

source: Mississippi Division of Medicaid (DOM)

dataset_id: ms-dom-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MT Medicaid

source: Montana Department of Public Health and Human Services (DPHHS)

dataset_id: mt-dphhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MT-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CO Medicaid

source: Colorado Department of Health Care Policy & Financing (HCPF)

dataset_id: co-hcpf-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: CO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

IN Medicaid

source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)

dataset_id: in-ompp-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: IN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KS Medicaid

source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)

dataset_id: ks-kmap-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KS-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

KY Medicaid

source: Kentucky CHFS, Department for Medicaid Services (DMS)

dataset_id: ky-dms-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: KY-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

NH Medicaid

source: New Hampshire Department of Health and Human Services (DHHS)

dataset_id: nh-dhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: NH-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

ND Medicaid

source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity

dataset_id: nd-hhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: ND-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

TN Medicaid

source: Tennessee TennCare, Office of Program Integrity

dataset_id: tn-tenncare-terminated

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: TN-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MI Medicaid

source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity

dataset_id: mi-mdhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MI-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

LA Medicaid

source: Louisiana Department of Health (LDH), Program Integrity

dataset_id: la-ldh-adverse-actions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: LA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

SC Medicaid

source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity

dataset_id: sc-scdhhs-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: SC-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MA Medicaid

source: Massachusetts MassHealth (EOHHS), Office of Program Integrity

dataset_id: ma-masshealth-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MA-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

MO Medicaid

source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services

dataset_id: mo-mmac-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: MO-public-records

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

OIG CIA

source: HHS Office of Inspector General — Corporate Integrity Agreements

dataset_id: oig-cia

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CMS Penalties

source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties

dataset_id: cms-cmp

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20

14-tuple provenance (1)

CMS Open Payments

source: CMS Open Payments (Sunshine Act physician payment disclosures)

dataset_id: cms-open-payments

snapshot: —

methodology: open-payments/v1

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2013-08-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20

14-tuple provenance (1)

CMS Order and Referring

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-order-referring

snapshot: —

methodology: cms-order-referring/v1

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20

14-tuple provenance (1)

CMS Opt Out Affidavits

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-opt-out-affidavits

snapshot: —

methodology: cms-opt-out/v1

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: not_present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 1998-01-01

coverage_end: ongoing

slsa_provenance_url: —

upstream source

Revalidation

On file

1 Medicare enrollment record on file.

Due date: TBD upstream — not due within the ensuing six months.

Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20

14-tuple provenance (1)

CMS Medicare Revalidation Due Date List

source: Centers for Medicare & Medicaid Services (CMS)

dataset_id: cms-revalidation-due-dates

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T08:53:54.889Z

confidence: 1

data_availability: present, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: 2011-03-25

coverage_end: ongoing

slsa_provenance_url: —

upstream source

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=…