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 | 1639363153 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1639363153","entity_type_code":"2"} |
| pac_id | 4789779059 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1639363153","rule":"D-PECOS","enrlmt_id":"O20071002000044","pecos_asct_cntl_id":"4789779059"} |
| pecos_enrlmt_id | O20071002000044 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1639363153","rule":"D-PECOS","enrlmt_id":"O20071002000044"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | MARJA COONS-TORN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143623652","source_pk":57798,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | FRANCIS VAVONESE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840716353","source_pk":57799,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | THERESA HART | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052714565","source_pk":57800,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | MANUFACTURERS & TRADERS TRUST COMPANY (NY) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/13/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658382841","source_pk":57801,"type_owner":"O","enrollment_id":"O20071002000044","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | BENJAMIN RAND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759764863","source_pk":57803,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | JILL L SZALACH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"08/01/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2668793753","source_pk":57804,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | JOHN SHERMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769799972","source_pk":57806,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | ALLYSA OLSEN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/20/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769908276","source_pk":57807,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | RONALD C WITT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860700747","source_pk":57809,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | MICHAEL H KUEKER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"08/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860739257","source_pk":57810,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | CRAIG CLARK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961805478","source_pk":57812,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | PATRICIA THOMAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"02/05/2008","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587180096","source_pk":57813,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | GEORGE HERBERT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587759857","source_pk":57815,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | ROBERT HOOVER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7113443623","source_pk":57816,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | MORRISON MANAGEMENT SPECIALISTS INC (ME) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/10/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214248095","source_pk":57817,"type_owner":"O","enrollment_id":"O20071002000044","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | TERRIE MURRAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"06/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022534536","source_pk":57819,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | GRETCHEN LIBROCK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"63","association_date":"05/31/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123335338","source_pk":57820,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
| ← owns | WILLIAM L WLODARCZYK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"07/01/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638333032","source_pk":57821,"type_owner":"I","enrollment_id":"O20071002000044","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ORCHARD PARK CCRC, INC."} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1639363153 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 | 2007-08-28 | 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 | ORCHARD PARK CCRC, 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 | NY | 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 1639363153: 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=…