TERMINAL · ENTITY CARD · ORGANIZATION

GOLDEN AGE OPERATIONS, LLC

Canonical entity in the resolved graph · SC · methodology entity-graph/v1 · fbd3735a-39d4-49c1-bbf8-7913380fe21b

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
Scheme	Value	Source table	Link method	Confidence	Since	Provenance
npi	1083043780	nppes_providers	deterministic_pk	1.000	2026-06-10	evidence recorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1083043780","entity_type_code":"2"}
pac_id	8022359181	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1083043780","rule":"D-PECOS","enrlmt_id":"O20190418000644","pecos_asct_cntl_id":"8022359181"}
pecos_enrlmt_id	O20190418000644	pecos_providers	exact_npi_in_pecos	1.000	2026-06-16	evidence recorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1083043780","rule":"D-PECOS","enrlmt_id":"O20190418000644"}

Graph edges

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

Current 1-hop graph edges
Relationship	Entity	Confidence	Source table	Provenance
← owns	OWNER PAC 0042728651 (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042728651","source_pk":189236,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0143738765	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143738765","source_pk":189237,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	DENA JOHNSON	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/03/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0547449365","source_pk":189238,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0648788257 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648788257","source_pk":189240,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0749798353 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749798353","source_pk":189241,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	BRANDON ANTHONY HAUBNER	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"03/08/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840595245","source_pk":189242,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0840708459 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0840708459","source_pk":189244,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0941718555 (OH)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941718555","source_pk":189245,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 0941718563	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/02/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941718563","source_pk":189246,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	NEW LEGACY PROFESSIONAL SERVICES (GA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456869064","source_pk":189247,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 1658889266 (SC)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658889266","source_pk":189248,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 1759899362 (GA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1759899362","source_pk":189249,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 1850809468 (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1850809468","source_pk":189250,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 1951819564 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951819564","source_pk":189251,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 1951819572	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/18/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1951819572","source_pk":189252,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	CULLIGAN OF THE PIEDMONT (SC)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567970171","source_pk":189253,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 2769990373 (GA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2769990373","source_pk":189254,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 2860900487	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860900487","source_pk":189255,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 2961910583	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/17/2021","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961910583","source_pk":189256,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	MICHAEL ALLEN BOKOR	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3072422138","source_pk":189257,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	F/K/A ELITE PATIENT CARE OF SOUTH CAROLINA P.C. (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274041884","source_pk":189263,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3375051980 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375051980","source_pk":189264,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3476061086 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476061086","source_pk":189265,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3577071182 (TN)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3577071182","source_pk":189266,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3678081288 (SC)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678081288","source_pk":189267,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	YAKAR OPERATING LLC (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3678999661","source_pk":189268,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3779091384 (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779091384","source_pk":189270,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3779091392	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3779091392","source_pk":189271,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 3870001480 (SC)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870001480","source_pk":189272,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 4385152990 (OH)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4385152990","source_pk":189273,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 4587172192 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/19/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587172192","source_pk":189274,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 4880102409	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4880102409","source_pk":189275,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 5193233708 (WI)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193233708","source_pk":189276,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 5294243804 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5294243804","source_pk":189277,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	MDB HOLDINGS 1 LLC (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"07/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496171480","source_pk":189278,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 5496263006 (TX)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496263006","source_pk":189280,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 5597273102 (MO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597273102","source_pk":189281,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	YAKAR HOLDINGS, LLC (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"03/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698018422","source_pk":189282,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 5890203418	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/11/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5890203418","source_pk":189284,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 6002324613 (CO)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6002324613","source_pk":189285,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 6103334719 (SD)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103334719","source_pk":189286,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 6305354911 (IL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6305354911","source_pk":189287,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 6406364025	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2023","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6406364025","source_pk":189288,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	MANAGED CARE CONSULTANTS OF AMERICA (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507374113","source_pk":189289,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 6507374121	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"03/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507374121","source_pk":189290,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7012425622 (NJ)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7012425622","source_pk":189291,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7214445824 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214445824","source_pk":189292,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7214445832	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"12/02/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214445832","source_pk":189293,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7315455920 (CT)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315455920","source_pk":189294,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7810405420 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810405420","source_pk":189295,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 7911415526 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911415526","source_pk":189296,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 8022526631 (NC)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8022526631","source_pk":189297,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 8123536737 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123536737","source_pk":189298,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 8123536745	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/02/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8123536745","source_pk":189299,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 8224546833 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224546833","source_pk":189300,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 8224546841	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"11/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"8224546841","source_pk":189301,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9032627641 (VA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032627641","source_pk":189302,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9032627658	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"08/14/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9032627658","source_pk":189303,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9133637747 (GA)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133637747","source_pk":189304,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	MICHAEL GREENWALD	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/01/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9436247897","source_pk":189305,"type_owner":"I","enrollment_id":"O20190418000644","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9739697343 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9739697343","source_pk":189307,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9830607449 (OH)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830607449","source_pk":189308,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}
← owns	OWNER PAC 9931617545 (FL)	1.000	snf_all_owners	evidence recorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"06/09/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9931617545","source_pk":189309,"type_owner":"O","enrollment_id":"O20190418000644","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GOLDEN AGE OPERATIONS LLC"}

Current record

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

org · 1083043780 JSON

Current claims for org 1083043780
Metric	Value	Asserted	Source
dba_name	<UNAVAIL>	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
enumeration_date	2013-11-04	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
legal_business_name	GOLDEN AGE OPERATIONS, LLC	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
practice_state	SC	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON
primary_taxonomy	314000000X	2026-06-10	Centers for Medicare & Medicaid Services NPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… Upstream source claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1083043780: 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: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

NY Medicaid (OMIG)

source: NY Office of the Medicaid Inspector General (OMIG)

dataset_id: ny-omig-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

OH Medicaid (ODM)

source: Ohio Department of Medicaid (ODM)

dataset_id: oh-odm-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

GA Medicaid (DCH OIG)

source: Georgia DCH Office of Inspector General

dataset_id: ga-dch-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

PA Medicaid (Medicheck)

source: Pennsylvania Department of Human Services (DHS)

dataset_id: pa-dhs-medicheck

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

NC Medicaid (DHHS)

source: NC DHHS, Division of Health Benefits (NC Medicaid)

dataset_id: nc-dhhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

MD Medicaid

source: Maryland Department of Health (MDH)

dataset_id: md-mdh-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

WA Medicaid

source: Washington State Health Care Authority (HCA)

dataset_id: wa-hca-termination-exclusion

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

IA Medicaid

source: Iowa Health and Human Services (Iowa Medicaid)

dataset_id: ia-medicaid-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

MS Medicaid

source: Mississippi Division of Medicaid (DOM)

dataset_id: ms-dom-sanctioned

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

MT Medicaid

source: Montana Department of Public Health and Human Services (DPHHS)

dataset_id: mt-dphhs-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

CO Medicaid

source: Colorado Department of Health Care Policy & Financing (HCPF)

dataset_id: co-hcpf-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

IN Medicaid

source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)

dataset_id: in-ompp-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

KY Medicaid

source: Kentucky CHFS, Department for Medicaid Services (DMS)

dataset_id: ky-dms-terminations

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

NH Medicaid

source: New Hampshire Department of Health and Human Services (DHHS)

dataset_id: nh-dhhs-sanctions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

TN Medicaid

source: Tennessee TennCare, Office of Program Integrity

dataset_id: tn-tenncare-terminated

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

LA Medicaid

source: Louisiana Department of Health (LDH), Program Integrity

dataset_id: la-ldh-adverse-actions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

MA Medicaid

source: Massachusetts MassHealth (EOHHS), Office of Program Integrity

dataset_id: ma-masshealth-exclusions

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

OIG CIA

source: HHS Office of Inspector General — Corporate Integrity Agreements

dataset_id: oig-cia

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

CMS Penalties

source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties

dataset_id: cms-cmp

snapshot: —

methodology: v2026.05.0

last_checked: 2026-09-20T13:37:40.830Z

confidence: 1

data_availability: not_flagged, snapshot_date_unavailable

pipeline_version: b1fa680

doi: —

license: US-Government-Works

coverage_start: —

coverage_end: —

slsa_provenance_url: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

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: 2026-09-20T13:37:40.830Z

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: —

upstream source

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=…