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 | 1174172217 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1174172217","entity_type_code":"2"} |
| pac_id | 7416387030 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1174172217","rule":"D-PECOS","enrlmt_id":"O20200423000113","pecos_asct_cntl_id":"7416387030"} |
| pecos_enrlmt_id | O20200423000113 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1174172217","rule":"D-PECOS","enrlmt_id":"O20200423000113"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | JOSEPH S LAW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941428171","source_pk":201037,"type_owner":"I","enrollment_id":"O20200423000113","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | TRYKO DELTA HOLDINGS LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/31/2019","percentage_ownership":66.8} evidence: {"rule":"D-OWNER","owner_pac":"1052745627","source_pk":201039,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":66.8,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | DONNA SHAW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456591817","source_pk":201041,"type_owner":"I","enrollment_id":"O20200423000113","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | RELIANT PRO REHAB LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759768047","source_pk":201045,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | OWNER PAC 1850802547 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850802547","source_pk":201047,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | UKR CONSULTING LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/30/2019","percentage_ownership":10} evidence: {"rule":"D-OWNER","owner_pac":"2062657570","source_pk":201048,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | SK 2013 DELTA TRUST (IL) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/30/2019","percentage_ownership":22.27} evidence: {"rule":"D-OWNER","owner_pac":"2769816339","source_pk":201050,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":22.27,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | OWNER PAC 2961913652 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961913652","source_pk":201052,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | MARQUIS LIMITED LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3173053527","source_pk":201053,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | MANNY SILIS (VA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183751803","source_pk":201055,"type_owner":"I","enrollment_id":"O20200423000113","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | OWNER PAC 4688185374 (CT) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4688185374","source_pk":201057,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | MINDEE POSEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789085465","source_pk":201058,"type_owner":"I","enrollment_id":"O20200423000113","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | OWNER PAC 4789195470 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4789195470","source_pk":201060,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | KOHN FAM TR GST EXEMPT UAD 3-25-13 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/30/2019","percentage_ownership":22.27} evidence: {"rule":"D-OWNER","owner_pac":"5294126215","source_pk":201061,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":22.27,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | RSBRMK HOLDINGS LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/30/2019","percentage_ownership":21.8} evidence: {"rule":"D-OWNER","owner_pac":"5496146615","source_pk":201063,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":21.8,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | NFR 2020 IRRV TR (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/30/2019","percentage_ownership":21.8} evidence: {"rule":"D-OWNER","owner_pac":"6305237520","source_pk":201065,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":21.8,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | QUINTO DELTA LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/31/2019","percentage_ownership":88.6} evidence: {"rule":"D-OWNER","owner_pac":"6507290160","source_pk":201067,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":88.6,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | YR 2013 DELTA TR UA 03252013 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"12/30/2019","percentage_ownership":22.27} evidence: {"rule":"D-OWNER","owner_pac":"7315371986","source_pk":201069,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":22.27,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | WOODBINE PROPERTY 1 LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315458007","source_pk":201071,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | OWNER PAC 8224549910 (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224549910","source_pk":201072,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | M&T BANK (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"37","association_date":"12/30/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8426224957","source_pk":201073,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"37","role_text_owner":"5% OR GREATER SECURITY INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | UAK 2020 IRRV TR (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":9.9} evidence: {"rule":"D-OWNER","owner_pac":"9032514625","source_pk":201074,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":9.9,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
| ← owns | SKILLED VENTURE LLC (NJ) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"12/30/2019","percentage_ownership":1.4} evidence: {"rule":"D-OWNER","owner_pac":"9931513199","source_pk":201076,"type_owner":"O","enrollment_id":"O20200423000113","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1.4,"enrollment_organization_name":"WOODBINE OPERATOR LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1174172217 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 | 2019-09-11 | 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 | WOODBINE OPERATOR 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 | VA | 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 1174172217: 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=…