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 | 1780682096 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1780682096","entity_type_code":"2"} |
| pac_id | 2062495401 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1780682096","rule":"D-PECOS","enrlmt_id":"O20040622001552","pecos_asct_cntl_id":"2062495401"} |
| pecos_enrlmt_id | O20040622001552 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1780682096","rule":"D-PECOS","enrlmt_id":"O20040622001552"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | PLANTE & MORAN PLLC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062936453","source_pk":18886,"type_owner":"O","enrollment_id":"O20040622001552","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | DAWN N PAINTER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/10/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365674439","source_pk":18888,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | PEPLINKSI HOLDINGS, INC. (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2012","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2466619523","source_pk":18890,"type_owner":"O","enrollment_id":"O20040622001552","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | TAMARA A SCHADE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"2567447667","source_pk":18891,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | TODD J PEPLINSKI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"3274518378","source_pk":18893,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | RICKY L ACKERMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"4183754914","source_pk":18897,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | SHELLY THOMPSON (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"4385629484","source_pk":18901,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | MACIEJ SOLAREWICZ (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688644636","source_pk":18903,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | KATHY WINKELS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"07/06/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698806438","source_pk":18905,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | AMY J ACKERMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"6002891108","source_pk":18907,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | MICHAEL P BAUMGARTEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"6800053869","source_pk":18909,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | THERESE M BAUMGARTEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"6901881002","source_pk":18911,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | BRIAN D THOMPSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"7012064124","source_pk":18913,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | SHELI L PEPLINSKI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"7618134677","source_pk":18918,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | NWNC ESTATES, LLC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022533637","source_pk":18920,"type_owner":"O","enrollment_id":"O20040622001552","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | JEFFERY R SCHADE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2012","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"8921155037","source_pk":18921,"type_owner":"I","enrollment_id":"O20040622001552","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
| ← owns | THE PEPLINSKI GROUP INC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638205206","source_pk":18926,"type_owner":"O","enrollment_id":"O20040622001552","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"J & A HEALTH CARE SYSTEMS, INC."} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1780682096 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| enumeration_date | 2005-07-11 | 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 | J & A HEALTH CARE SYSTEMS, 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 | MI | 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 1780682096: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…