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 | 1639124308 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1639124308","entity_type_code":"2"} |
| pac_id | 8729252200 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1639124308","rule":"D-PECOS","enrlmt_id":"O20111118000141","pecos_asct_cntl_id":"8729252200"} |
| pecos_enrlmt_id | O20111118000141 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1639124308","rule":"D-PECOS","enrlmt_id":"O20111118000141"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | CIENA HEALTHCARE MANAGEMENT INC (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2021","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"0244147999","source_pk":106975,"type_owner":"O","enrollment_id":"O20111118000141","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | DAVID STOBB | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456657824","source_pk":106977,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | ANIS KHAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"02/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2062329717","source_pk":106978,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 2769984566 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/17/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769984566","source_pk":106981,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 3678075470 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678075470","source_pk":106982,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | MOHAMMAD A. QAZI | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"02/01/2016","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3870400526","source_pk":106983,"type_owner":"I","enrollment_id":"O20111118000141","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":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | NEAL H DEUTSCH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/23/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971757709","source_pk":106987,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 4587166384 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587166384","source_pk":106988,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 4981106788 (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/01/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4981106788","source_pk":106989,"type_owner":"O","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | JUSTIN DI REZZE (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395037758","source_pk":106990,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 5890297691 (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"02/01/2016","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5890297691","source_pk":106992,"type_owner":"O","enrollment_id":"O20111118000141","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | LAUREL HEALTH CARE HOLDINGS, INC. (OH) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"02/01/2016","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"5991712218","source_pk":106993,"type_owner":"O","enrollment_id":"O20111118000141","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":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | NANCY STEPHENS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/03/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608192166","source_pk":106995,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | ANNA GARDINA WOLFE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/23/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123272812","source_pk":106997,"type_owner":"I","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 8426550229 (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426550229","source_pk":106998,"type_owner":"O","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
| ← owns | OWNER PAC 9335641133 (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/31/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9335641133","source_pk":106999,"type_owner":"O","enrollment_id":"O20111118000141","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LAUREL HEALTH CARE COMPANY OF LOWELL"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1639124308 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 | 2006-05-23 | 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 | LAUREL HEALTH CARE COMPANY OF LOWELL | 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 | 313M00000X | 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 1639124308: 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=…