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
Other providers at this street address (1)
SPENCER MUNICIPAL HOSPITAL
Incorporated —
Owners and managing parties of record
CITY OF SPENCER IOWA
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 28, 2014
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BRUCE NYSTROM
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2018
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALANA KLIEGL
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Sep 4, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
AMANDA BARE
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JULIE LYNN CHRISTENSEN
CORPORATE DIRECTOR · I · since Jan 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BRENDA MARIE TIEFENTHALER
CORPORATE DIRECTOR · I · since Nov 15, 2005
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHANNON M FOX
CORPORATE DIRECTOR · I · since Feb 18, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BRENDA MARIE TIEFENTHALER
W-2 MANAGING EMPLOYEE · I · since Jul 10, 2005
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHANNON M FOX
W-2 MANAGING EMPLOYEE · I · since Feb 18, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GARY CHARLES VANHOFWEGEN
CORPORATE DIRECTOR · I · since Jan 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
STEVEN THOMAS LENSING
CORPORATE DIRECTOR · I · since Jan 1, 2016
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.
- 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
- SPENCER MUNICIPAL HOSPITALNPI 1780671578 · certification 167030 · 101 E 10TH ST, SPENCER, IA
- SPENCER MUNICIPAL HOSPITALsame street address in the same file
CMS Home Health Agency All Owners
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- CITY OF SPENCER IOWA5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2014-08-28
- BRUCE NYSTROMCORPORATE DIRECTOR · 0% share · since 2018-01-01
- ALANA KLIEGLW-2 MANAGING EMPLOYEE · 0% share · since 2020-09-04
- AMANDA BARECORPORATE DIRECTOR · 0% share · since 2021-01-01
- JULIE LYNN CHRISTENSENCORPORATE DIRECTOR · since 2016-01-01
- BRENDA MARIE TIEFENTHALERCORPORATE DIRECTOR · since 2005-11-15
- SHANNON M FOXCORPORATE DIRECTOR · since 2026-02-18
- BRENDA MARIE TIEFENTHALERW-2 MANAGING EMPLOYEE · since 2005-07-10
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Avera At Home Of Spencer Hospital — 2024$180,043 paid · 61 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 | SPENCER MUNICIPAL HOSPITAL | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | AVERA@HOME OF SPENCER HOSPITAL | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1780671578 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 167030 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 4183533060 | 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 | OTHER | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 101 E 10TH ST | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | SPENCER | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | IA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 513014307 | 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.