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 | 1003000514 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1003000514","entity_type_code":"2"} |
| pecos_enrlmt_id | O20080502000166 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1003000514","rule":"D-PECOS","enrlmt_id":"O20080502000166"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | FERRIN LEN FAST | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2007","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052220050","source_pk":67097,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 1557888500 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/12/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557888500","source_pk":67099,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 1658897269 (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658897269","source_pk":67100,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 1850817461 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850817461","source_pk":67101,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 2567988173 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567988173","source_pk":67102,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 3476079088 (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476079088","source_pk":67103,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | TERRI MOEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"09/23/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678099280","source_pk":67104,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 4385160993 (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385160993","source_pk":67106,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 4486170099 (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486170099","source_pk":67107,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 4587180195 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2014","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587180195","source_pk":67108,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | JESSICA BECHTEL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880116003","source_pk":67109,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | 660 EAST BIRCH LLC (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2007","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294251807","source_pk":67111,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 5395261903 (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395261903","source_pk":67112,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 5496271009 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/02/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496271009","source_pk":67113,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | TIMOTHY J SADOWSKA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103951595","source_pk":67114,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 6204352818 (MN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204352818","source_pk":67116,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | RICHARD SAMPSON (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507995271","source_pk":67117,"type_owner":"I","enrollment_id":"O20080502000166","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | GRANT D THAYER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"10/01/2007","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"6901888379","source_pk":67119,"type_owner":"I","enrollment_id":"O20080502000166","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":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 7012433626 (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/31/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012433626","source_pk":67123,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | CLIPBOARD HEALTH (CA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8921524539","source_pk":67124,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
| ← owns | OWNER PAC 9830615442 (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/05/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830615442","source_pk":67125,"type_owner":"O","enrollment_id":"O20080502000166","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SENIOR MANAGEMENT INC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1003000514 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 | 2007-08-29 | 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 | SENIOR MANAGEMENT INC | 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 | WI | 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 1003000514: 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=…