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 | 1134125131 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1134125131","entity_type_code":"2"} |
| pac_id | 5092627778 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1134125131","rule":"D-PECOS","enrlmt_id":"O20031108000036","pecos_asct_cntl_id":"5092627778"} |
| pecos_enrlmt_id | O20031108000036 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1134125131","rule":"D-PECOS","enrlmt_id":"O20031108000036"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | LORENZO A SUTER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"02/20/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0244398329","source_pk":11875,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | MCLAREN OAKLAND (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/01/1989","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0547173213","source_pk":11877,"type_owner":"O","enrollment_id":"O20031108000036","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":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | MARY MBIYA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456782143","source_pk":11879,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | LYNN MARCOTTE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951657626","source_pk":11881,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | JACQUI SPICER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365873056","source_pk":11886,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | CHAD GRANT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/12/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274716154","source_pk":11888,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | PHILIP A INCARNATI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/01/2007","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587577606","source_pk":11890,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | DERRICK MCDONALD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/19/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002122520","source_pk":11892,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | TONY HAIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"03/01/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204016090","source_pk":11894,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | MCLAREN HEALTH CARE CORPORATION (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/01/1989","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6608784731","source_pk":11896,"type_owner":"O","enrollment_id":"O20031108000036","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | ALLEN PRINCE (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"07/01/2003","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325084536","source_pk":11899,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | FADI SALLOUM (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426943200","source_pk":11901,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | DAVID MAZURKIEWICZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8628962537","source_pk":11905,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
| ← owns | KEVIN BALL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234471640","source_pk":11907,"type_owner":"I","enrollment_id":"O20031108000036","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKE ORION NURSING CENTER CORPORATION"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1134125131 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2005-06-23 | 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 | LAKE ORION NURSING CENTER CORPORATION | 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 |
| parent_org_lbn | POH MEDICAL CENTER | 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 1134125131: 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=…