TERMINAL · ENTITY CARD · ORGANIZATION

BETHEL HEALTH AND REHABILITATION CENTER LLC

Canonical entity in the resolved graph · CT · methodology entity-graph/v1 · 6c776459-e7dc-4310-bd9b-760b2e546992

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	1740382803	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1740382803","entity_type_code":"2"}
pac_id	4880792852	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1740382803","rule":"D-PECOS","enrlmt_id":"O20070614000599","pecos_asct_cntl_id":"4880792852"}
pecos_enrlmt_id	O20070614000599	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1740382803","rule":"D-PECOS","enrlmt_id":"O20070614000599"}

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	BARRY BOKOW 2012 FAMILY TRUST (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/07/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042697468","source_pk":49843,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0042797888	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042797888","source_pk":49844,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0143707984	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143707984","source_pk":49845,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARVIN J. OSTREICHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2017","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0244206886","source_pk":49846,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARVIN OSTREICHER FAMILY TRUST 2012 (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2017","percentage_ownership":18.35} evidence: {"rule":"D-OWNER","owner_pac":"0244475457","source_pk":49849,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":18.35,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0840777686	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840777686","source_pk":49851,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 0941787782	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941787782","source_pk":49852,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1052898897	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052898897","source_pk":49853,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1759868599	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759868599","source_pk":49854,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1850878695	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850878695","source_pk":49855,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 1951888791	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951888791","source_pk":49856,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	SUSAN OSTREICHER FAMILY TRUST 2012 (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2017","percentage_ownership":18.35} evidence: {"rule":"D-OWNER","owner_pac":"2062657273","source_pk":49857,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":18.35,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	THOMAS JOSEPH GILMARTIN	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/01/2016","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"2264537232","source_pk":49859,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	PREFERRED PROFESSIONAL SERVICES LLC (CT)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2264924273","source_pk":49861,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2668959404	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668959404","source_pk":49862,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2769969500	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769969500","source_pk":49863,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 2860979606	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860979606","source_pk":49864,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MEAGHAN A MILLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":0.49} evidence: {"rule":"D-OWNER","owner_pac":"2860984846","source_pk":49865,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.49,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	DAVID OSTREICHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961581640","source_pk":49866,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARY G MCCOLLAM	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":1.5} evidence: {"rule":"D-OWNER","owner_pac":"2961994942","source_pk":49867,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.5,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	BPB VENTURES LLC (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072005081","source_pk":49868,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	CEDAR HILL NG TRUST (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/07/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173015187","source_pk":49869,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	ESTATE OF ROLAND CHARLES BUTLER (MA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"04/07/2025","percentage_ownership":36.52} evidence: {"rule":"D-OWNER","owner_pac":"3375035348","source_pk":49871,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":36.52,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 3678050416	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678050416","source_pk":49873,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 3779060512	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779060512","source_pk":49874,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 3870070618	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870070618","source_pk":49875,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	PREFERRED THERAPY SOLUTIONS LLC (CT)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870998545","source_pk":49876,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	NATIONAL HEALTH CARE ASSOCIATES INC (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183159833","source_pk":49877,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	GRACE FLIGHT	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/06/2007","percentage_ownership":7} evidence: {"rule":"D-OWNER","owner_pac":"4183715493","source_pk":49878,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":7,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4587141320	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587141320","source_pk":49880,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4688151426	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688151426","source_pk":49881,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARC E OSTREICHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688767940","source_pk":49882,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4789161522	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789161522","source_pk":49883,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 4880171628	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880171628","source_pk":49884,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	ROBERT BUTLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":1.75} evidence: {"rule":"D-OWNER","owner_pac":"5092806307","source_pk":49885,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.75,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5496232233	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496232233","source_pk":49886,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5597242339	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597242339","source_pk":49887,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MATTHEW R BUTLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":1} evidence: {"rule":"D-OWNER","owner_pac":"5597257576","source_pk":49888,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5698252435	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698252435","source_pk":49889,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	ELIZABETH ALMEIDA	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698854370","source_pk":49890,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 5799262531	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799262531","source_pk":49891,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	SUSAN OSTREICHER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890768238","source_pk":49892,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OAK DRIVE NG TRUST (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/07/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5991297905","source_pk":49893,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	IRA GEFFNER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2017","percentage_ownership":2.55} evidence: {"rule":"D-OWNER","owner_pac":"6103839907","source_pk":49895,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.55,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6305323148	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305323148","source_pk":49896,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6406333244	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406333244","source_pk":49897,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6507343340	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507343340","source_pk":49898,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 6608353446	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608353446","source_pk":49899,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	BETHEL INVESTORS, LLC (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2017","percentage_ownership":51} evidence: {"rule":"D-OWNER","owner_pac":"6901175561","source_pk":49900,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":51,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MARY BUTLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":0.49} evidence: {"rule":"D-OWNER","owner_pac":"6901997212","source_pk":49902,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.49,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 7214414051	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214414051","source_pk":49903,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 7315424157	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315424157","source_pk":49904,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 7416434253	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416434253","source_pk":49905,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	ROLLING HILL NG TRUST (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/07/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618469628","source_pk":49906,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	BPB EQUITY HOLDINGS LLC (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"01/01/2018","percentage_ownership":2.55} evidence: {"rule":"D-OWNER","owner_pac":"7719256379","source_pk":49908,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.55,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	BETHEL HEALTH CARE REALTY, LLC (CT)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/13/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7719479781","source_pk":49909,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	ERIN HEALY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/07/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810381597","source_pk":49910,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8022595867	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022595867","source_pk":49912,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	HELEN BUTLER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"01/01/2017","percentage_ownership":0.25} evidence: {"rule":"D-OWNER","owner_pac":"8123510104","source_pk":49913,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.25,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8224515069	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224515069","source_pk":49914,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 8325525165	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325525165","source_pk":49915,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	MICHAEL BOKOW	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/30/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921590936","source_pk":49916,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9032696877	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032696877","source_pk":49917,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9133606973	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133606973","source_pk":49918,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	REBECCA LOPIANSKY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/14/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234218918","source_pk":49919,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9234616079	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234616079","source_pk":49920,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	AMBER BRODY	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335375476","source_pk":49921,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9436641404 (ME)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436641404","source_pk":49923,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	JUNIPER NG TRUST (NY)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/07/2026","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436641446","source_pk":49924,"type_owner":"O","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}
← owns	OWNER PAC 9931686771	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931686771","source_pk":49926,"type_owner":"I","enrollment_id":"O20070614000599","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"BETHEL HEALTH AND REHABILITATION CENTER LLC"}

Current record

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

org · 1740382803 JSON

Current claims for org 1740382803
Metric	Value	Asserted	Source
enumeration_date	2006-09-01	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	BETHEL HEALTH AND REHABILITATION CENTER 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	CT	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 1740382803: 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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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: 2026-09-20T10:08:41.914Z

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=…