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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Owner is tied to 9 providers
An owner or managing party of this provider (JOSEPH DONALD MEAD) is listed on 9 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Other providers at this street address (1)
OPTIMAL CARE, LLC
STE 250 · Incorporated Aug 7, 2003
Owners and managing parties of record
EXPECT EXCEPTIONAL, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARELINE HOLDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 82.05% ownership · since Apr 11, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOSEPH DONALD MEAD
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 82.05% ownership · since Nov 2, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARING HEALTH EQUITY HOLDING, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 17.95% ownership · since Sep 4, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WILLIAM L DEARY
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 14.58% ownership · since Sep 4, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARELINE HOLDCO, LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 2, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LAKSHUMANAN SUNDARAM
CORPORATE OFFICER · I · since Sep 4, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STACY SMITH
W-2 MANAGING EMPLOYEE · I · since Aug 26, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RAMKRISHNA SURENDRAN
CONTRACTED MANAGING EMPLOYEE · I · since Feb 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOSEPH DONALD MEAD
CORPORATE OFFICER · I · since Nov 2, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOSEPH DONALD MEAD
CORPORATE DIRECTOR · I · since Nov 2, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOSEPH DONALD MEAD
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 2, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
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.
CMS Hospice All Owners
- Owner is tied to 9 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- EXPECT EXCEPTIONAL, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2024-04-11
- CARELINE HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 82.05% share · since 2024-04-11
- JOSEPH DONALD MEAD5% OR GREATER INDIRECT OWNERSHIP INTEREST · 82.05% share · since 2021-11-02
- CARING HEALTH EQUITY HOLDING, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 17.95% share · since 2024-09-04
- WILLIAM L DEARY5% OR GREATER INDIRECT OWNERSHIP INTEREST · 14.58% share · since 2024-09-04
- CARELINE HOLDCO, LLCOPERATIONAL/MANAGERIAL CONTROL · since 2021-11-02
- LAKSHUMANAN SUNDARAMCORPORATE OFFICER · since 2024-09-04
- STACY SMITHW-2 MANAGING EMPLOYEE · since 2025-08-26
CMS Hospice Enrollments
- 2 providers share this street address
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- CARELINE HMI400 LLCNPI 1376200121 · certification 231698 · 24255 W 13 MILE RD, BINGHAM FARMS, MI
- OPTIMAL CARE, LLCsame street address in the same file
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Careline Hospice — 2024$4,509,478 paid · 227 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 | CARELINE HMI400 LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | OPTIMAL CARE HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1376200121 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 231698 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 9335535624 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2021-11-02 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | MI | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 24255 W 13 MILE RD, STE 210 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | BINGHAM FARMS | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | MI | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 480254327 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
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.
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