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 | 1215804844 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1215804844","entity_type_code":"2"} |
| pac_id | 4880171016 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215804844","rule":"D-PECOS","enrlmt_id":"O20260120001627","pecos_asct_cntl_id":"4880171016"} |
| pecos_enrlmt_id | O20260120001627 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1215804844","rule":"D-PECOS","enrlmt_id":"O20260120001627"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | WILFRED ELABA (CT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042261232","source_pk":280011,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 0840777082 (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840777082","source_pk":280013,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 1951888197 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"10/21/2025","percentage_ownership":1} evidence: {"rule":"D-OWNER","owner_pac":"1951888197","source_pk":280014,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 2769969906 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769969906","source_pk":280015,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | LTC CONSULTING SERVICES LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961587720","source_pk":280016,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | CHRISTINE TKACZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688987183","source_pk":280017,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | IM MANAGEMENT LLC (CT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789161910","source_pk":280019,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | RACHEL SHAKOW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/21/2025","percentage_ownership":99} evidence: {"rule":"D-OWNER","owner_pac":"5698195626","source_pk":280020,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":99,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 5698252823 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698252823","source_pk":280023,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | KAMAL ALTOWS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698252831","source_pk":280024,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 5799262929 (FL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799262929","source_pk":280025,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 6507343746 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507343746","source_pk":280026,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 7315424553 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315424553","source_pk":280027,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 8224515465 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224515465","source_pk":280028,"type_owner":"I","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
| ← owns | OWNER PAC 8921585167 (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921585167","source_pk":280029,"type_owner":"O","enrollment_id":"O20260120001627","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"IM OPCO LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1215804844 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2025-10-20 | 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 | IM OPCO 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 | CT | 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 1215804844: 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=…