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 | 1760282602 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1760282602","entity_type_code":"2"} |
| pac_id | 3971019043 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1760282602","rule":"D-PECOS","enrlmt_id":"O20250724001046","pecos_asct_cntl_id":"3971019043"} |
| pecos_enrlmt_id | O20250724001046 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1760282602","rule":"D-PECOS","enrlmt_id":"O20250724001046"} |
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 0042726127 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"71","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042726127","source_pk":275520,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"71","role_text_owner":"TRUSTEE OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | SABRINA 1818 HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"06/01/2025","percentage_ownership":47} evidence: {"rule":"D-OWNER","owner_pac":"1153650908","source_pk":275522,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":47,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | SAESSY IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"06/01/2025","percentage_ownership":44.7} evidence: {"rule":"D-OWNER","owner_pac":"1951630110","source_pk":275525,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":44.7,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | MT TABOR SNF OPERATIONS HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/01/2025","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"2961918040","source_pk":275527,"type_owner":"O","enrollment_id":"O20250724001046","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":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | LANSILH IRRV TR (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"06/01/2025","percentage_ownership":2.38} evidence: {"rule":"D-OWNER","owner_pac":"3476072828","source_pk":275530,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.38,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | OWNER PAC 4688180763 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"06/01/2025","percentage_ownership":2.3} evidence: {"rule":"D-OWNER","owner_pac":"4688180763","source_pk":275531,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":2.3,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | OWNER PAC 5597271676 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"06/01/2025","percentage_ownership":0.1} evidence: {"rule":"D-OWNER","owner_pac":"5597271676","source_pk":275532,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.1,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | JML 1836 HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5799200127","source_pk":275533,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | SHIMON IDELS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"06/01/2025","percentage_ownership":0} evidence: {"rule":"D-OWNER","owner_pac":"6305175563","source_pk":275535,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | OWNER PAC 6406362581 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"71","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406362581","source_pk":275538,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"71","role_text_owner":"TRUSTEE OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | DELILAH 2626 HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224367487","source_pk":275539,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | LISA SLAVIK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224544309","source_pk":275541,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | TATIRIQ IRREVOCABLE TRUST (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"06/01/2025","percentage_ownership":44.7} evidence: {"rule":"D-OWNER","owner_pac":"9133458391","source_pk":275543,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":44.7,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | OWNER PAC 9133635212 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"06/01/2025","percentage_ownership":1} evidence: {"rule":"D-OWNER","owner_pac":"9133635212","source_pk":275545,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | LION 26 HOLDINGS LLC (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"06/01/2025","percentage_ownership":47} evidence: {"rule":"D-OWNER","owner_pac":"9335478197","source_pk":275546,"type_owner":"O","enrollment_id":"O20250724001046","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":47,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
| ← owns | APRIL A OLUM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"06/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638314131","source_pk":275549,"type_owner":"I","enrollment_id":"O20250724001046","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MT TABOR SNF OPERATIONS LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1760282602 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2025-03-18 | 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 | MT TABOR SNF OPERATIONS 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 | OR | 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 1760282602: 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
None on fileNo CMS Medicare revalidation record on file for this NPI.
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=…