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 | 1477660777 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1477660777","entity_type_code":"2"} |
| pac_id | 3173795457 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1477660777","rule":"D-PECOS","enrlmt_id":"O20111010000335","pecos_asct_cntl_id":"3173795457"} |
| pecos_enrlmt_id | O20111010000335 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1477660777","rule":"D-PECOS","enrlmt_id":"O20111010000335"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | ELY-BLOOMENSON COMMUNITY HOSPITAL (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/30/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042200040","source_pk":104511,"type_owner":"O","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | SERGEI NICHOLAS SHVETZOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/07/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446248579","source_pk":104513,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | MICHAEL FORSMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446532519","source_pk":104514,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | HEALTH DIMENSIONS CONSULTING INC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/17/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759379878","source_pk":104516,"type_owner":"O","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | JONEENE LOBE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"10/01/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264714336","source_pk":104518,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | PATRICIA LYNN BRISCOE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/07/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264956531","source_pk":104521,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | KATHLEEN CHAMPA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971085143","source_pk":104522,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | ERIN LEIGH SHVETZOFF HENNESSEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971744335","source_pk":104524,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | DAVID LINDSAY BRISCOE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/07/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284622317","source_pk":104525,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | JOSEPH SCHWINGHAMER (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385622273","source_pk":104526,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | ROGER PEKURI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587739503","source_pk":104528,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | WARREN DANIEL JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880176056","source_pk":104531,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | OWNER PAC 7416439682 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416439682","source_pk":104533,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | ADAM MASLOSKI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628350790","source_pk":104534,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | AMBER ROGOTZKE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/07/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133557630","source_pk":104536,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
| ← owns | TAMI LYN SHVETZOFF | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/17/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9537683800","source_pk":104537,"type_owner":"I","enrollment_id":"O20111010000335","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BOUNDARY WATERS CARE CENTER"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1477660777 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2006-08-23 | 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 | BOUNDARY WATERS CARE CENTER | 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 | MN | 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 1477660777: 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=…