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 | 1538194709 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1538194709","entity_type_code":"2"} |
| pac_id | 0941382485 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1538194709","rule":"D-PECOS","enrlmt_id":"O20091204000000","pecos_asct_cntl_id":"0941382485"} |
| pecos_enrlmt_id | O20091204000000 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1538194709","rule":"D-PECOS","enrlmt_id":"O20091204000000"} |
| pecos_enrlmt_id | O20100715001047 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1538194709","rule":"D-PECOS","enrlmt_id":"O20100715001047"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | WILLIAM GORMLEY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143384263","source_pk":83681,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | TARA A. CORTES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2011","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"0941460281","source_pk":83682,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | DAVID WAGNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850781873","source_pk":83683,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | ARTHUR GOSHIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072654045","source_pk":83685,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | ROCCO MELIAMBRO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"01/01/2008","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577645613","source_pk":83686,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | LOYOLA PRINCIVIL-BARNETT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"01/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779970959","source_pk":83687,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | MARK LIPTON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2007","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"3870675911","source_pk":83688,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | ANCA ADAMS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"03/21/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284021445","source_pk":83689,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | ANN WYATT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/01/1999","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"4688756729","source_pk":83690,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | JEFFREY J DAVIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789593997","source_pk":83691,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | CAROL WEATHERLY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"01/20/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"5597048959","source_pk":83693,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | IRWIN J TALBOT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2007","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"5991944944","source_pk":83694,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | RIA M ANTHONY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"01/23/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6103189998","source_pk":83695,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | DAVID KOSCHITZKI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406246420","source_pk":83696,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | RICHARD HARDING | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/1996","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6406938547","source_pk":83697,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | ALEXANDER S BALKO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6507775715","source_pk":83698,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | HILA RICHARDSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2007","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6507922168","source_pk":83700,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
| ← owns | RENATO D LEONEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"42","association_date":"01/20/2017","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"9032492491","source_pk":83701,"type_owner":"I","enrollment_id":"O20091204000000","role_code_owner":"42","role_text_owner":"W-2 MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"ISABELLA GERIATRIC CENTER, INC."} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1538194709 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2006-07-12 | 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 | ISABELLA GERIATRIC CENTER, INC. | 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 | NY | 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 1538194709: 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 file2 Medicare enrollment records on file.
- Earliest revalidation due: 2025-07-31
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=…