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FonteumPublic-records evidence

TERMINAL · ENTITY CARD · ORGANIZATION

GARDEN VALLEY RETIREMENT VILLAGE, LLC

Canonical entity in the resolved graph · KS · methodology entity-graph/v1 · e8250518-a275-483c-8286-b0748356fe94

active

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.

Current identifier attachments with link confidence
SchemeValueSource tableLink methodConfidenceSinceProvenance
npi1710210943nppes_providersdeterministic_pk1.0002026-06-10
evidence
recorded: 2026-06-10
methodology: entity-graph/v1
evidence: {"rule":"D-NPI","source_pk":"1710210943","entity_type_code":"2"}
pac_id2264568369pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1710210943","rule":"D-PECOS","enrlmt_id":"O20100329000191","pecos_asct_cntl_id":"2264568369"}
pecos_enrlmt_idO20100329000191pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1710210943","rule":"D-PECOS","enrlmt_id":"O20100329000191"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
RelationshipEntityConfidenceSource tableProvenance
← ownsKRISTAIN PITTILLO1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"11/01/2020","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"0042703985","source_pk":89897,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsBOKF,NA (OK)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/13/2019","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"0648188896","source_pk":89899,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsROBERT JONES1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"05/10/2012","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1052634219","source_pk":89900,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsROBERTO PEREZ1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"09/24/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1951894898","source_pk":89902,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsFRONTIER MANAGEMENT INC (CO)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"07/19/2009","percentage_ownership":100}
evidence: {"rule":"D-OWNER","owner_pac":"2466588579","source_pk":89904,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsHEATHER ORBACK1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"09/20/2011","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"2961725122","source_pk":89906,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsFRONTLINE MDS EXCHANGE LLC (CO)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"03/01/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3375033434","source_pk":89908,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsGREGORY ALLEN FALK1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"07/19/2009","percentage_ownership":50}
evidence: {"rule":"D-OWNER","owner_pac":"3476622465","source_pk":89909,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsMICHELLE NEWTON1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"06/02/2014","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3779732805","source_pk":89910,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsOPENWORK HEALTH LLC (KS)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"03/31/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"4284130956","source_pk":89912,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsSCOTT BOOKER (KS)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"07/01/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"4981773082","source_pk":89913,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsFINANICAL MANAGEMENT INC (KS)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"01/01/2010","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5193232965","source_pk":89915,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsRENAE KERSENBROCK1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"09/02/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5294041448","source_pk":89916,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsPINNACLE PHARMACY GROUP INC (KS)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"03/01/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5395158620","source_pk":89918,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsJENNIFER JOHNSTON1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"12/19/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5597258442","source_pk":89919,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsPAUL VELUSCEK1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"07/19/2009","percentage_ownership":5}
evidence: {"rule":"D-OWNER","owner_pac":"5597891507","source_pk":89921,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":5,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsADAM BAKER1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"04/16/2020","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5799182945","source_pk":89922,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsELLIOT LEKAWA1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"11/01/2019","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"6305812934","source_pk":89924,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsEDISON ONG1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"40","association_date":"04/04/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"7113422668","source_pk":89925,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsTAMARA ALTMAN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"7214420165","source_pk":89928,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsVICKI HOLLAND1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"11/25/2020","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"7517409113","source_pk":89930,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsANGELA SCOTT1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"04/01/2020","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"7810039617","source_pk":89932,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsMORGHAN ALLEN1.000snf_all_owners
evidence
recorded: 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":"8123511078","source_pk":89934,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsKAREN LOZANO1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"03/04/2024","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8224521166","source_pk":89936,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsCHERISE SALAS1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"06/02/2014","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8527460880","source_pk":89938,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsSTEVEN W VELUSCEK1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"07/19/2009","percentage_ownership":45}
evidence: {"rule":"D-OWNER","owner_pac":"8628085503","source_pk":89940,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":45,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsINTEGRA ACCOUNTING SOLUTIONS LLC (KS)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"01/01/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8628566833","source_pk":89941,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsJILL STEVENSON1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"05/28/2025","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9032602982","source_pk":89942,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsCARMEN CALZADA1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"03/18/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9133612070","source_pk":89944,"type_owner":"I","enrollment_id":"O20100329000191","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}
← ownsKEY REHABILITATION INC (TN)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"02/01/2024","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9638086432","source_pk":89946,"type_owner":"O","enrollment_id":"O20100329000191","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GARDEN VALLEY RETIREMENT VILLAGE, LLC"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1710210943 JSON

Current claims for org 1710210943
MetricValueAssertedSource
enumeration_date2009-09-042026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
legal_business_nameGARDEN VALLEY RETIREMENT VILLAGE, LLC2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
practice_stateKS2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
primary_taxonomy314000000X2026-06-10
Centers for Medicare & Medicaid Services
NPPES 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 1710210943: 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 stale

Exclusion 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.
Source:OIG LEIE +25 moreChecked 2026-09-20
14-tuple provenance (26)
OIG LEIE
source: HHS Office of Inspector General (LEIE)
dataset_id: oig-leie
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 1977-10-25
coverage_end: ongoing
slsa_provenance_url:
SAM.gov Exclusions
source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)
dataset_id: sam-gov-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2012-07-30
coverage_end: ongoing
slsa_provenance_url:
NY Medicaid (OMIG)
source: NY Office of the Medicaid Inspector General (OMIG)
dataset_id: ny-omig-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NY-OMIG-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
OH Medicaid (ODM)
source: Ohio Department of Medicaid (ODM)
dataset_id: oh-odm-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: OH-ODM-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
GA Medicaid (DCH OIG)
source: Georgia DCH Office of Inspector General
dataset_id: ga-dch-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: GA-DCH-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
PA Medicaid (Medicheck)
source: Pennsylvania Department of Human Services (DHS)
dataset_id: pa-dhs-medicheck
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: PA-DHS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
NC Medicaid (DHHS)
source: NC DHHS, Division of Health Benefits (NC Medicaid)
dataset_id: nc-dhhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NC-DHHS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MD Medicaid
source: Maryland Department of Health (MDH)
dataset_id: md-mdh-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MD-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
WA Medicaid
source: Washington State Health Care Authority (HCA)
dataset_id: wa-hca-termination-exclusion
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: WA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
IA Medicaid
source: Iowa Health and Human Services (Iowa Medicaid)
dataset_id: ia-medicaid-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: IA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MS Medicaid
source: Mississippi Division of Medicaid (DOM)
dataset_id: ms-dom-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MT Medicaid
source: Montana Department of Public Health and Human Services (DPHHS)
dataset_id: mt-dphhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MT-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
CO Medicaid
source: Colorado Department of Health Care Policy & Financing (HCPF)
dataset_id: co-hcpf-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: CO-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
IN Medicaid
source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)
dataset_id: in-ompp-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: IN-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
KS Medicaid
source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)
dataset_id: ks-kmap-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: KS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
KY Medicaid
source: Kentucky CHFS, Department for Medicaid Services (DMS)
dataset_id: ky-dms-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: KY-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
NH Medicaid
source: New Hampshire Department of Health and Human Services (DHHS)
dataset_id: nh-dhhs-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NH-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
ND Medicaid
source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity
dataset_id: nd-hhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: ND-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
TN Medicaid
source: Tennessee TennCare, Office of Program Integrity
dataset_id: tn-tenncare-terminated
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: TN-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MI Medicaid
source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity
dataset_id: mi-mdhhs-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MI-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
LA Medicaid
source: Louisiana Department of Health (LDH), Program Integrity
dataset_id: la-ldh-adverse-actions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: LA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
SC Medicaid
source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity
dataset_id: sc-scdhhs-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: SC-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MA Medicaid
source: Massachusetts MassHealth (EOHHS), Office of Program Integrity
dataset_id: ma-masshealth-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MO Medicaid
source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services
dataset_id: mo-mmac-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MO-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
OIG CIA
source: HHS Office of Inspector General — Corporate Integrity Agreements
dataset_id: oig-cia
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end:
slsa_provenance_url:
CMS Penalties
source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties
dataset_id: cms-cmp
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end:
slsa_provenance_url:

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20
14-tuple provenance (1)
CMS Open Payments
source: CMS Open Payments (Sunshine Act physician payment disclosures)
dataset_id: cms-open-payments
snapshot:
methodology: open-payments/v1
last_checked: 2026-09-20T11:57:14.333Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2013-08-01
coverage_end: ongoing
slsa_provenance_url:

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20
14-tuple provenance (1)
CMS Order and Referring
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-order-referring
snapshot:
methodology: cms-order-referring/v1
last_checked: 2026-09-20T11:57:14.334Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end: ongoing
slsa_provenance_url:

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20
14-tuple provenance (1)
CMS Opt Out Affidavits
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-opt-out-affidavits
snapshot:
methodology: cms-opt-out/v1
last_checked: 2026-09-20T11:57:14.334Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 1998-01-01
coverage_end: ongoing
slsa_provenance_url:

Revalidation

On file

1 Medicare enrollment record on file.

  • Due date: TBD upstream — not due within the ensuing six months.
Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20
14-tuple provenance (1)
CMS Medicare Revalidation Due Date List
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-revalidation-due-dates
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T11:57:14.334Z
confidence: 1
data_availability: present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2011-03-25
coverage_end: ongoing
slsa_provenance_url:

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.

As of
Diff

Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…

Request access