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 | 1619456670 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1619456670","entity_type_code":"2"} |
| pac_id | 3971856345 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1619456670","rule":"D-PECOS","enrlmt_id":"O20181101000883","pecos_asct_cntl_id":"3971856345"} |
| pecos_enrlmt_id | O20181101000883 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1619456670","rule":"D-PECOS","enrlmt_id":"O20181101000883"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JESSICA AVELINO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/02/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648666719","source_pk":185099,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | LARKIN AVE PROPERTY HOLDINGS, LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"10/01/2018","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"1456835404","source_pk":185101,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 2163906116 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2018","percentage_ownership":4.9} evidence: {"rule":"D-OWNER","owner_pac":"2163906116","source_pk":185103,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.9,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 3072097021 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2018","percentage_ownership":2.6} evidence: {"rule":"D-OWNER","owner_pac":"3072097021","source_pk":185104,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.6,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | MENACHEM SHABAT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072526219","source_pk":185105,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | MILLER COOPER & CO, LTD (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183116049","source_pk":185108,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 4981188935 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2018","percentage_ownership":4.9} evidence: {"rule":"D-OWNER","owner_pac":"4981188935","source_pk":185109,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.9,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/01/2018","percentage_ownership":42.5} evidence: {"rule":"D-OWNER","owner_pac":"5294988994","source_pk":185110,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":42.5,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | LEGACY HEALTHCARE FINANCIAL SERVICES LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799046132","source_pk":185112,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OAKWAY OPERATIONS LLC (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/01/2018","percentage_ownership":15} evidence: {"rule":"D-OWNER","owner_pac":"6103212279","source_pk":185114,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":15,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 6709360753 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2018","percentage_ownership":2.6} evidence: {"rule":"D-OWNER","owner_pac":"6709360753","source_pk":185115,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.6,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | DOROS GENERATION TRUST U/A/D 1/3/12 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/01/2018","percentage_ownership":42.5} evidence: {"rule":"D-OWNER","owner_pac":"6901110428","source_pk":185116,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":42.5,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | OWNER PAC 7517441561 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517441561","source_pk":185118,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | CIBC BANK USA (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"10/01/2018","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8426229584","source_pk":185119,"type_owner":"O","enrollment_id":"O20181101000883","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
| ← owns | ASAD SHAH (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830142447","source_pk":185121,"type_owner":"I","enrollment_id":"O20181101000883","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELGIN SKILLED NURSING FACILITY LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1619456670 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 | 2018-08-10 | 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 | ELGIN SKILLED NURSING FACILITY 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 | IL | 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 1619456670: 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=…