TERMINAL · ENTITY CARD · ORGANIZATION

BLC - VILLAGE AT SKYLINE, LLC

Canonical entity in the resolved graph · CO · methodology entity-graph/v1 · 4b5fc08b-2272-4916-9da0-6f93702072c4

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	1003865635	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1003865635","entity_type_code":"2"}
pac_id	7911953286	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1003865635","rule":"D-PECOS","enrlmt_id":"O20050330000136","pecos_asct_cntl_id":"7911953286"}
pecos_enrlmt_id	O20050330000136	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1003865635","rule":"D-PECOS","enrlmt_id":"O20050330000136"}

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 0244735678	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244735678","source_pk":27038,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 0446755896	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446755896","source_pk":27039,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 0749783298	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749783298","source_pk":27040,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	MARK FIORAVANTI	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/13/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052829512","source_pk":27041,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 1153824602	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153824602","source_pk":27042,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	CLAUDIA DRAYTON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1153839618","source_pk":27043,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BROOKDALE LIVING COMMUNITIES, INC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/20/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254387269","source_pk":27044,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 1456854900	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456854900","source_pk":27046,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 1557864006	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557864006","source_pk":27047,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 1850896382	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850896382","source_pk":27048,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 2062917404	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062917404","source_pk":27049,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	PRUDENTIAL FINANCIAL (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2163667189","source_pk":27050,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	KEVIN W LA MARRE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/22/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466891759","source_pk":27051,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 2860997293	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860997293","source_pk":27052,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 2860997392	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860997392","source_pk":27053,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 2961907498	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961907498","source_pk":27054,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BROOKDALE SENIOR LIVING INC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/20/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072521293","source_pk":27055,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BROOKDALE F&B, LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"03/30/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3072569086","source_pk":27057,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 3476060369	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476060369","source_pk":27058,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 3577068907	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577068907","source_pk":27059,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 3577071026	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577071026","source_pk":27060,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	MATTHEW WHITLEY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/12/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678086436","source_pk":27061,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	ANNELIESE MUHLBAUER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779088380","source_pk":27063,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 3971006347	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971006347","source_pk":27065,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 4082117437	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4082117437","source_pk":27066,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 4183132640	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183132640","source_pk":27067,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	CHADWICK C WHITE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/09/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183869225","source_pk":27068,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	ELIZABETH MACE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284142753","source_pk":27071,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 4789189374 (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789189374","source_pk":27072,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	LEE WIELANSKY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/23/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092223560","source_pk":27073,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	THOMAS A SMITH	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/30/2007","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294830956","source_pk":27074,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	DENISE W WARREN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/04/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496833865","source_pk":27075,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	JORDAN R ASHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/24/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698870434","source_pk":27076,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	PRUDENTIAL MULTIFAMILY MORTGAGE LLC (DE)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"12/20/2016","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5799281184","source_pk":27077,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 5890290233	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890290233","source_pk":27079,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 5991200339	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991200339","source_pk":27080,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	LBMC PC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991203044","source_pk":27081,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 5991208449	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991208449","source_pk":27082,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 5991213456	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991213456","source_pk":27083,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	ANNA F.C. MUNOZ	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/05/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103265491","source_pk":27084,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	NIKOLAS W STENGLE	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/08/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103310503","source_pk":27085,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 6103329651	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103329651","source_pk":27086,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	VIKAS REDDY (CO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709197866","source_pk":27087,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 6709389158	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709389158","source_pk":27089,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 6709389257	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/01/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709389257","source_pk":27090,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 6901301431	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901301431","source_pk":27091,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 7012412547	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012412547","source_pk":27092,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 7113422544	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113422544","source_pk":27093,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BKD SKYLINE PROCO LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/20/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214432871","source_pk":27094,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 7618472069	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618472069","source_pk":27095,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BLC MANAGEMENT - 3, LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"03/30/2005","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"7719933720","source_pk":27096,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 7911402342	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911402342","source_pk":27097,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	VICTORIA FREED	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/29/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022526599","source_pk":27098,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	DAWN KUSSOW	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/30/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426595109","source_pk":27099,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	BKD FM7 HOLDCO MI-CO LLC (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/20/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8820593486","source_pk":27101,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	JOSHUA HAUSMAN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921516493","source_pk":27102,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9032614524	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032614524","source_pk":27103,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9133622582	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133622582","source_pk":27104,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9234632688	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234632688","source_pk":27105,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9234634676	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234634676","source_pk":27106,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	WALTERS FINANCIAL SERVICES INC (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234646100","source_pk":27107,"type_owner":"O","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9335644863	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335644863","source_pk":27108,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9436654951	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436654951","source_pk":27109,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9638674070	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638674070","source_pk":27110,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9638674088	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638674088","source_pk":27111,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}
← owns	OWNER PAC 9638674161	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/22/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638674161","source_pk":27112,"type_owner":"I","enrollment_id":"O20050330000136","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BLC - VILLAGE AT SKYLINE LLC"}

Current record

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

org · 1003865635 JSON

Current claims for org 1003865635
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	2006-05-10	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	BLC - VILLAGE AT SKYLINE, 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	CO	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 1003865635: 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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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: 2026-09-20T13:12:19.972Z

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=…