Why this was flagged
2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a
Owner is tied to 8 providers
An owner or managing party of this provider (SHANE M MALEY) is listed on 8 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Other providers at this street address (1)
JAMES RIVER HOME HEALTH CARE LLC
Incorporated May 21, 2013
Owners and managing parties of record
JAMES RIVER INTERMEDIATE HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 23, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHANE M MALEY
CORPORATE OFFICER · I · 100% ownership · since May 21, 2013
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHANE M MALEY
CORPORATE DIRECTOR · I · 100% ownership · since May 21, 2013
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHANE M MALEY
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Oct 15, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES RIVER BUYER, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 7, 2024
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
TRICIA W. ROWSEY
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Oct 15, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
TRICIA W. ROWSEY
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Oct 15, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES RIVER HOLDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 7, 2024
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Owner is tied to 8 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- JAMES RIVER INTERMEDIATE HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2020-01-23
- SHANE M MALEYCORPORATE OFFICER · 100% share · since 2013-05-21
- SHANE M MALEYCORPORATE DIRECTOR · 100% share · since 2013-05-21
- SHANE M MALEYOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2021-10-15
- JAMES RIVER BUYER, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2024-06-07
- TRICIA W. ROWSEYW-2 MANAGING EMPLOYEE · 100% share · since 2021-10-15
- TRICIA W. ROWSEYOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2021-10-15
- JAMES RIVER HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2024-06-07
- 2 providers share this street address
Weekly refreshes
- 18 Sept 2026 (in use)11,494 records11,494 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026
- 18 Sept 20261,000 records1,000 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026(running)
Records read from this file
- JAMES RIVER HOME HEALTH CARE LLCNPI 1740946797 · certification 497795 · 4318 CARR DR, FREDERICKSBURG, VA
- JAMES RIVER HOME HEALTH CARE LLCsame street address in the same file
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- James River Home Health Care Llc — 2024$743,412 paid · 203 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | JAMES RIVER HOME HEALTH CARE LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1740946797 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 497795 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 6002041779 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Incorporation date | 2013-05-21 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | VA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 4318 CARR DR | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | FREDERICKSBURG | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | VA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 224082688 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.