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 | 1770540171 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1770540171","entity_type_code":"2"} |
| pac_id | 9234235698 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1770540171","rule":"D-PECOS","enrlmt_id":"O20070501000234","pecos_asct_cntl_id":"9234235698"} |
| pecos_enrlmt_id | O20070501000234 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1770540171","rule":"D-PECOS","enrlmt_id":"O20070501000234"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | OWNER PAC 0042704306 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042704306","source_pk":48452,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 0143714402 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/31/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143714402","source_pk":48453,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 0244724508 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/23/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244724508","source_pk":48455,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | GARY PIZZICHILLO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/22/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840321832","source_pk":48456,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 0941794200 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941794200","source_pk":48458,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | NONMARITAL TRUST UNDER THE HOWARD LIPSCHUTZ REVOCABLE TRUST 5/21/15 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/01/2021","percentage_ownership":9.88} evidence: {"rule":"D-OWNER","owner_pac":"1052713625","source_pk":48460,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.88,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 1052805314 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052805314","source_pk":48462,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | LAUREN KOVALCHIK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456864438","source_pk":48464,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 1850885112 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850885112","source_pk":48466,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | RICHARD ANTONIO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/09/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850885120","source_pk":48468,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 1951895218 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951895218","source_pk":48470,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 2062906324 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062906324","source_pk":48472,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 2769976026 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/01/2005","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769976026","source_pk":48473,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | 2012 LIPSCHUTZ FAMILY TRUST (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/16/2012","percentage_ownership":9.88} evidence: {"rule":"D-OWNER","owner_pac":"2860619145","source_pk":48475,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.88,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 2860986122 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860986122","source_pk":48477,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | BARRY M KANTROWITZ REVOCABLE TRUST DATED 12/17/2009 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2010","percentage_ownership":5.45} evidence: {"rule":"D-OWNER","owner_pac":"2961996228","source_pk":48479,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":5.45,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 3779077037 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779077037","source_pk":48481,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | DR. BRUCE BANFORD, PSY. D. (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971097239","source_pk":48483,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | NJ HEALTH SYSTEMS, LLC (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/04/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4082876388","source_pk":48484,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 4688168941 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688168941","source_pk":48485,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 4880188143 (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/15/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880188143","source_pk":48487,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | WEISMAN FAMILY HOLDINGS LP (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"08/31/2005","percentage_ownership":45.88} evidence: {"rule":"D-OWNER","owner_pac":"5294751855","source_pk":48489,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":45.88,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 5597259853 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597259853","source_pk":48491,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 5698269959 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698269959","source_pk":48493,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 5890289151 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890289151","source_pk":48495,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 6406340769 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406340769","source_pk":48496,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 6709370067 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709370067","source_pk":48498,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 7214421577 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214421577","source_pk":48499,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 7416441779 (SD) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/15/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416441779","source_pk":48501,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 7517451875 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517451875","source_pk":48503,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | MILLENNIUM CONSOLIDATED, LLC (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"11/15/2019","percentage_ownership":14.6} evidence: {"rule":"D-OWNER","owner_pac":"7618376112","source_pk":48504,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":14.6,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 8123512480 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2011","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123512480","source_pk":48506,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 8224522586 (PA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224522586","source_pk":48508,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 8426542788 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426542788","source_pk":48510,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 9032603394 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032603394","source_pk":48511,"type_owner":"I","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 9133613490 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133613490","source_pk":48513,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
| ← owns | OWNER PAC 9335633692 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/25/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335633692","source_pk":48514,"type_owner":"O","enrollment_id":"O20070501000234","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FORKIDCARE LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1770540171 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2006-04-28 | 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 | FORKIDCARE LLC | 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 | NJ | 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 | 3140N1450X | 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 1770540171: 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.
Source:OIG LEIE +25 moreChecked 2026-08-05
14-tuple provenance (26)
OIG LEIE
source: HHS Office of Inspector General (LEIE)
dataset_id: oig-leie
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: 1977-10-25
coverage_end: ongoing
slsa_provenance_url: —
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: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: 2012-07-30
coverage_end: ongoing
slsa_provenance_url: —
NY Medicaid (OMIG)
source: NY Office of the Medicaid Inspector General (OMIG)
dataset_id: ny-omig-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: NY-OMIG-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
OH Medicaid (ODM)
source: Ohio Department of Medicaid (ODM)
dataset_id: oh-odm-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: OH-ODM-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
GA Medicaid (DCH OIG)
source: Georgia DCH Office of Inspector General
dataset_id: ga-dch-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: GA-DCH-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
PA Medicaid (Medicheck)
source: Pennsylvania Department of Human Services (DHS)
dataset_id: pa-dhs-medicheck
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: PA-DHS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
NC Medicaid (DHHS)
source: NC DHHS, Division of Health Benefits (NC Medicaid)
dataset_id: nc-dhhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: NC-DHHS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MD Medicaid
source: Maryland Department of Health (MDH)
dataset_id: md-mdh-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MD-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
WA Medicaid
source: Washington State Health Care Authority (HCA)
dataset_id: wa-hca-termination-exclusion
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: WA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
IA Medicaid
source: Iowa Health and Human Services (Iowa Medicaid)
dataset_id: ia-medicaid-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: IA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MS Medicaid
source: Mississippi Division of Medicaid (DOM)
dataset_id: ms-dom-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MT Medicaid
source: Montana Department of Public Health and Human Services (DPHHS)
dataset_id: mt-dphhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MT-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
CO Medicaid
source: Colorado Department of Health Care Policy & Financing (HCPF)
dataset_id: co-hcpf-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.307Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: CO-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
IN Medicaid
source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)
dataset_id: in-ompp-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: IN-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: KS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
KY Medicaid
source: Kentucky CHFS, Department for Medicaid Services (DMS)
dataset_id: ky-dms-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: KY-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
NH Medicaid
source: New Hampshire Department of Health and Human Services (DHHS)
dataset_id: nh-dhhs-sanctions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: NH-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: ND-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
TN Medicaid
source: Tennessee TennCare, Office of Program Integrity
dataset_id: tn-tenncare-terminated
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: TN-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MI-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
LA Medicaid
source: Louisiana Department of Health (LDH), Program Integrity
dataset_id: la-ldh-adverse-actions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: LA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: SC-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MA Medicaid
source: Massachusetts MassHealth (EOHHS), Office of Program Integrity
dataset_id: ma-masshealth-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: MO-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
OIG CIA
source: HHS Office of Inspector General — Corporate Integrity Agreements
dataset_id: oig-cia
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —
CMS Penalties
source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties
dataset_id: cms-cmp
snapshot: —
methodology: v2026.05.0
last_checked: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
Source:CMS Open PaymentsChecked 2026-08-05
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: 2013-08-01
coverage_end: ongoing
slsa_provenance_url: —
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
Source:CMS Order and ReferringChecked 2026-08-05
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: ongoing
slsa_provenance_url: —
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
Source:CMS Opt Out AffidavitsChecked 2026-08-05
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: 1998-01-01
coverage_end: ongoing
slsa_provenance_url: —
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
Source:CMS Medicare Revalidation Due Date ListChecked 2026-08-05
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: 2026-08-05T09:19:46.308Z
confidence: 1
data_availability: present, snapshot_date_unavailable
pipeline_version: 0236392
doi: —
license: US-Government-Works
coverage_start: 2011-03-25
coverage_end: ongoing
slsa_provenance_url: —
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=…