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 | 1104361138 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1104361138","entity_type_code":"2"} |
| pac_id | 1759667504 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1104361138","rule":"D-PECOS","enrlmt_id":"O20170411001497","pecos_asct_cntl_id":"1759667504"} |
| pecos_enrlmt_id | O20170411001497 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1104361138","rule":"D-PECOS","enrlmt_id":"O20170411001497"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | OWNER PAC 0143735076 (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/16/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143735076","source_pk":166318,"type_owner":"O","enrollment_id":"O20170411001497","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | FORREST L PRESTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"08/24/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0345157285","source_pk":166319,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | TERRY HENRY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0345260964","source_pk":166323,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | SLYVIA HICKMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/13/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941715882","source_pk":166324,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | TODD FLETCHER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163411588","source_pk":166326,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | AUBREY PRESTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/27/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860587680","source_pk":166327,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | OWNER PAC 2961917893 (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961917893","source_pk":166328,"type_owner":"O","enrollment_id":"O20170411001497","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | YOHANNA DENO (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284805805","source_pk":166329,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | JOAN E THURMOND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4789592056","source_pk":166331,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | CINDY S CROSS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4880501725","source_pk":166332,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | RICHARD SWANKER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406923143","source_pk":166333,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | LIFE CARE CENTERS OF AMERICA, INC. (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"08/24/2015","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6608783543","source_pk":166334,"type_owner":"O","enrollment_id":"O20170411001497","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":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | AARON PRESTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/03/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709001902","source_pk":166337,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | LISA M LAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/24/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325477938","source_pk":166339,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | JAMES ZIEGLER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/24/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921032210","source_pk":166340,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
| ← owns | JEFFREY VALDEZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/20/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032624978","source_pk":166341,"type_owner":"I","enrollment_id":"O20170411001497","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PORT ST. LUCIE OPERATIONS LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1104361138 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 | 2016-12-29 | 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 | PORT ST. LUCIE OPERATIONS, 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 | FL | 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 1104361138: 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=…