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 | 1932137437 | nppes_providers | deterministic_pk | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1932137437","entity_type_code":"1"} |
| pac_id | 9032289509 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1932137437","rule":"D-PECOS","enrlmt_id":"I20100309000236","pecos_asct_cntl_id":"9032289509"} |
| pecos_enrlmt_id | I20100309000236 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1932137437","rule":"D-PECOS","enrlmt_id":"I20100309000236"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76551,"type_owner":"I","enrollment_id":"O20090414000224","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":67077,"type_owner":"I","enrollment_id":"O20080501000628","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76551,"type_owner":"I","enrollment_id":"O20090414000224","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (NC) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76607,"type_owner":"I","enrollment_id":"O20090414000330","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76660,"type_owner":"I","enrollment_id":"O20090414000551","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76712,"type_owner":"I","enrollment_id":"O20090415000189","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/26/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76768,"type_owner":"I","enrollment_id":"O20090415000258","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76822,"type_owner":"I","enrollment_id":"O20090415000296","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (NC) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76877,"type_owner":"I","enrollment_id":"O20090415000345","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/26/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76935,"type_owner":"I","enrollment_id":"O20090415000415","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":76963,"type_owner":"I","enrollment_id":"O20090415000456","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/26/2009","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":77109,"type_owner":"I","enrollment_id":"O20090416000379","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":77163,"type_owner":"I","enrollment_id":"O20090416000469","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":122740,"type_owner":"I","enrollment_id":"O20120817000083","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC. (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":123123,"type_owner":"I","enrollment_id":"O20120829000128","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC. (AL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":135448,"type_owner":"I","enrollment_id":"O20140318001940","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (DE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":138452,"type_owner":"I","enrollment_id":"O20140711001741","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (DE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":139283,"type_owner":"I","enrollment_id":"O20140815000161","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC. (DE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1996","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":140138,"type_owner":"I","enrollment_id":"O20140917002034","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (SC) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":186736,"type_owner":"I","enrollment_id":"O20181231001905","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES INC. (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/31/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":233542,"type_owner":"I","enrollment_id":"O20230328002530","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
| owns → | ACTS RETIREMENT-LIFE COMMUNITIES, INC. (AL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"02/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032289509","source_pk":235655,"type_owner":"I","enrollment_id":"O20230504000385","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ACTS RETIREMENT-LIFE COMMUNITIES INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1932137437 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| credential | MD | 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 | 2006-06-30 | 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 |
| first_name | JOHN | 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 |
| last_name | ESTERHAI | 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 | PA | 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 | 207X00000X | 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 |
| years_active | 19 years | 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 1932137437: 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
On fileOn the CMS Order and Referring roster — eligible to order and refer in 5 of 5 Medicare benefit categories.
- Part B: Y
- DME: Y
- HHA: Y
- PMD: Y
- Hospice: Y
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=…