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 | 1891384558 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1891384558","entity_type_code":"2"} |
| pac_id | 2668856675 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1891384558","rule":"D-PECOS","enrlmt_id":"O20220824003860","pecos_asct_cntl_id":"2668856675"} |
| pecos_enrlmt_id | O20220824003860 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1891384558","rule":"D-PECOS","enrlmt_id":"O20220824003860"} |
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 0345754297 (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/28/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0345754297","source_pk":225252,"type_owner":"O","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | LA10 HOLDINGS LLC (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/25/2023","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0547645467","source_pk":225253,"type_owner":"O","enrollment_id":"O20220824003860","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":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | LA 10 OPCO HOLDCO LLC (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"07/26/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"1557746476","source_pk":225255,"type_owner":"O","enrollment_id":"O20220824003860","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":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | LEONARD TREANOR (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/18/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759455876","source_pk":225256,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 1850805714 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/28/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850805714","source_pk":225258,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | LAKESHORE MANOR NURSING & REHAB PROPCO LLC (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"07/26/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3072027929","source_pk":225259,"type_owner":"O","enrollment_id":"O20220824003860","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 3678087533 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678087533","source_pk":225261,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 3779097639 | 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":"3779097639","source_pk":225262,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | BENJAMIN SPARKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"04/05/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981079746","source_pk":225263,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | LA 10 PINNACLE HOLDCO LLC (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/26/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5193100014","source_pk":225264,"type_owner":"O","enrollment_id":"O20220824003860","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":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 5496269359 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/28/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496269359","source_pk":225266,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 5597279455 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/25/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597279455","source_pk":225267,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 6709390651 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6709390651","source_pk":225268,"type_owner":"O","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | CHAIM HAGAR | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/25/2023","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"6800143801","source_pk":225269,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 7214441179 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/24/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214441179","source_pk":225271,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | VOLARE HEALTH LLC (KY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618342478","source_pk":225272,"type_owner":"O","enrollment_id":"O20220824003860","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | PAUL DUPLESSIS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325467954","source_pk":225274,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | DONALD KNOX | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"04/05/2024","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"8729459474","source_pk":225276,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | OWNER PAC 9032623996 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032623996","source_pk":225278,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
| ← owns | ELIEZER SCHWARTZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/25/2023","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"9931495413","source_pk":225279,"type_owner":"I","enrollment_id":"O20220824003860","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"LAKESHORE MANOR NURSING AND REHAB LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1891384558 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 | 2021-01-15 | 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 | LAKESHORE MANOR NURSING AND REHAB 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 | LA | 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 1891384558: 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=…