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 | 1710473434 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1710473434","entity_type_code":"2"} |
| pac_id | 8921359209 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1710473434","rule":"D-PECOS","enrlmt_id":"O20180926000196","pecos_asct_cntl_id":"8921359209"} |
| pecos_enrlmt_id | O20180926000196 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1710473434","rule":"D-PECOS","enrlmt_id":"O20180926000196"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JOHN MIELKE (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/29/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042104598","source_pk":183565,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 0143730713 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/07/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143730713","source_pk":183567,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 0143730721 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/08/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143730721","source_pk":183569,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 1052821626 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052821626","source_pk":183570,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 1052821634 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/13/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052821634","source_pk":183572,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 2466962030 (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/21/2004","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2466962030","source_pk":183573,"type_owner":"O","enrollment_id":"O20180926000196","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"11/18/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567993603","source_pk":183574,"type_owner":"O","enrollment_id":"O20180926000196","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 2961912530 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/12/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961912530","source_pk":183575,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 2961912548 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/12/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961912548","source_pk":183576,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | MARK T MEYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/09/2016","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"3274441639","source_pk":183578,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | MARK A PEDERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2023","percentage_ownership":33} evidence: {"rule":"D-OWNER","owner_pac":"3274567094","source_pk":183580,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 4789194358 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/04/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789194358","source_pk":183582,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | JONATHAN DAVID FLETCHER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/01/2025","percentage_ownership":50} evidence: {"rule":"D-OWNER","owner_pac":"4789194366","source_pk":183583,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | PHS MANAGEMENT, LLC (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/17/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193901049","source_pk":183585,"type_owner":"O","enrollment_id":"O20180926000196","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 5698285260 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"06/02/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698285260","source_pk":183587,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | HEIDI A PETERSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698285278","source_pk":183588,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 6507376175 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/09/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507376175","source_pk":183589,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | CHRISTOPHER B KISPERT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/28/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416467089","source_pk":183590,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 7416467097 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"10/08/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416467097","source_pk":183592,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 8325558901 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/09/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8325558901","source_pk":183593,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | TCF INVESTMENTS MANAGEMENT, INC. (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"36","association_date":"08/17/2017","percentage_ownership":58.5} evidence: {"rule":"D-OWNER","owner_pac":"8628329901","source_pk":183594,"type_owner":"O","enrollment_id":"O20180926000196","role_code_owner":"36","role_text_owner":"5% OR GREATER MORTGAGE INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":58.5,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 9234649807 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/01/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234649807","source_pk":183596,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | OWNER PAC 9234649815 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/05/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234649815","source_pk":183597,"type_owner":"I","enrollment_id":"O20180926000196","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CG CARE CENTER LLC"} |
| ← owns | PRESBYTERIAN HOMES AND SERVICES (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"07/25/2017","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"9638087091","source_pk":183598,"type_owner":"O","enrollment_id":"O20180926000196","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":"CG CARE CENTER LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1710473434 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 | 2018-07-05 | 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 | CG CARE CENTER, 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 |
| parent_org_lbn | PRESBYTERIAN HOMES AND SERVICES | 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 | MN | 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 1710473434: 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=…