Why this was flagged
Medicare paid far more per patient than peers
In 2022 this provider was paid $11,156 per patient, against a typical $4,238 for the same kind of provider in OH. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19
View the records behind this flag →
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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
View the records behind this flag →
Owner is tied to 8 providers
An owner or managing party of this provider (ZEPHYRUS CAPITAL, LLC) is listed on 8 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
View the records behind this flag →
Owners and managing parties of record
1585 HOME CARE INTERCO, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
1585 HOME CARE TOPCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
NYIPA HEALTHCARE, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
1585 HOME CARE HOLDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
NYIPA SPV, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BOREAS CAPITAL, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 74.78% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
STEPHEN BERSHAD
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 31.08% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ZEPHYRUS CAPITAL, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 25.21% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
RAHUL CULAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 19.96% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DAVID W ALBERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 18.7% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DAVID W ALBERT
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JEFFREY L FAN
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
XUERONG PIAO
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JULIE KIM
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JOHN BAKER
W-2 MANAGING EMPLOYEE · I · since Jan 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BECKY L HENSCHEL
W-2 MANAGING EMPLOYEE · I · since Sep 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
RAHUL CULAS
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
Corrections and disputes
Providers and researchers can dispute a detail, submit supporting links, and track the review.
Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | FAMILY NURSE CARE OF OHIO LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | ALPINE CARE HOME HEALTH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1538261870 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 368210 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 9830105410 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Incorporation date | 2005-12-05 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | MI | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 4435 AICHOLTZ RD, STE 400 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | CINCINNATI | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | OH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 45245-1691 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
What changed
Public research history
Loading the research history…