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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.
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The U.S. healthcare graph AI can cite — every fact carries its source.
BLUE HERON HEALTH AND REHABILITATION LLC — Terminal entity card — Fonteum
TERMINAL · ENTITY CARD · ORGANIZATION
BLUE HERON HEALTH AND REHABILITATION LLC Canonical entity in the resolved graph · FL · methodology entity-graph/v1 · b1536609-b30d-44c2-b2fb-66f1d6850c24
active Watch
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 1972193712 nppes_providers deterministic_pk 1.000 2026-06-10 evidence recorded: 2026-06-10
methodology: entity-graph/v1
evidence: {"rule":"D-NPI","source_pk":"1972193712","entity_type_code":"2"}
pac_id 6800201906 pecos_providers exact_npi_in_pecos 1.000
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 RYAN OTT 1.000 snf_all_owners evidence
Current record Every current claim asserted about this entity, grouped by provenance subject. Each cell carries its upstream federal source.
org · 1972193712 JSON Current claims for org 1972193712 Metric Value Asserted Source enumeration_date 2021-01-26 2026-06-10 Centers for Medicare & Medicaid Services
Provider screening signals NPI-keyed source families read directly for 1972193712: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Each cell carries its own source and 14-tuple provenance. 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 None on file Nothing on file across the 14 integrity lists Fonteum currently holds — not a guarantee none exists elsewhere.
Screened: OIG LEIE, SAM.gov Exclusions, NY Medicaid (OMIG), OH Medicaid (ODM), GA Medicaid (DCH OIG), PA Medicaid (Medicheck), NC Medicaid (DHHS), MD Medicaid, WA Medicaid, IA Medicaid, MS Medicaid, MT Medicaid, OIG CIA, CMS Penalties Point-in-time Reconstruct this record as of any date, or diff it between two dates — both axes of the bitemporal store (bitemporal-read/v1): valid time (when a fact was true per the source) and recorded time (what the store knew when).
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…
2026-06-16
evidence recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1972193712","rule":"D-PECOS","enrlmt_id":"O20210224000148","pecos_asct_cntl_id":"6800201906"}
pecos_enrlmt_id O20210224000148 pecos_providers exact_npi_in_pecos 1.000 2026-06-16 evidence recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1972193712","rule":"D-PECOS","enrlmt_id":"O20210224000148"}
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/28/2017","percentage_ownership":13}
evidence: {"rule":"D-OWNER","owner_pac":"0042334005","source_pk":207652,"type_owner":"I","enrollment_id":"O20210224000148","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":13,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
← owns OTT FAMILY TRUST (IN) 1.000 snf_all_owners evidence recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/28/2017","percentage_ownership":15}
evidence: {"rule":"D-OWNER","owner_pac":"3577978733","source_pk":207654,"type_owner":"O","enrollment_id":"O20210224000148","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":15,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
← owns GARY L OTT 1.000 snf_all_owners evidence recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/28/2017","percentage_ownership":52}
evidence: {"rule":"D-OWNER","owner_pac":"5193635662","source_pk":207655,"type_owner":"I","enrollment_id":"O20210224000148","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":52,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
← owns DWIGHT A OTT 1.000 snf_all_owners evidence recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/28/2017","percentage_ownership":10}
evidence: {"rule":"D-OWNER","owner_pac":"8820908395","source_pk":207657,"type_owner":"I","enrollment_id":"O20210224000148","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
← owns KIMBERLY A SMITH 1.000 snf_all_owners evidence recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"41","association_date":"11/30/2020","percentage_ownership":100}
evidence: {"rule":"D-OWNER","owner_pac":"9133039696","source_pk":207659,"type_owner":"I","enrollment_id":"O20210224000148","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
← owns TENDER LOVING CARE MANAGEMENT INC (IN) 1.000 snf_all_owners evidence recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"06/28/2017","percentage_ownership":100}
evidence: {"rule":"D-OWNER","owner_pac":"9931198355","source_pk":207661,"type_owner":"O","enrollment_id":"O20210224000148","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"BLUE HERON HEALTH AND REHABILITATION LLC"}
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
sha256: 8b5267e250fd4df6…
legal_business_name BLUE HERON HEALTH AND REHABILITATION 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…
practice_state FL 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…
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…
OIG LEIE
source: HHS Office of Inspector General (LEIE)
dataset_id: oig-leie
snapshot: —
methodology: v2026.05.0
last_checked: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_excluded, snapshot_date_unavailable
pipeline_version: 673a15e
doi: —
license: MT-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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: 673a15e
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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: 673a15e
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 Payments · Checked 2026-06-16 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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 673a15e
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 Referring · Checked 2026-06-16 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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 673a15e
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 Affidavits · Checked 2026-06-16 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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: 673a15e
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 List · Checked 2026-06-16 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: 2026-06-16T12:34:06.781Z
confidence: 1
data_availability: present, snapshot_date_unavailable
pipeline_version: 673a15e
doi: —
license: US-Government-Works
coverage_start: 2011-03-25
coverage_end: ongoing
slsa_provenance_url: —