← Lead board
Critical
OpenScore 290

TOTAL HOME HEALTH CARE INC

Doing business as MEDICAL SERVICES OF AMERICA HOME HEALTH AND HOSPICE

1935 FRONT ST, RICHLANDS, VA, 246412350

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Critical
Owner cluster

Owner is tied to 41 providers

An owner or managing party of this provider (CHRISTINA M JEFFCOAT) is listed on 41 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

Moderate
Shared address

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

Other providers at this street address (1)

TOTAL HOME HEALTH CARE INC

Incorporated Jan 10, 1996

View lead

Owners and managing parties of record

MEDICAL SERVICES OF AMERICA INC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 2, 2002

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 7, 2020

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DENNY RAY GOSS

CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jun 22, 2023

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

PATRICK W JEFFCOAT

W-2 MANAGING EMPLOYEE · I · since Dec 5, 2014

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CHRISTINA M JEFFCOAT

CORPORATE OFFICER · I · since Dec 5, 2014

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CHRISTINA M JEFFCOAT

CORPORATE DIRECTOR · I · since Dec 5, 2014

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

MEDICAL SERVICES OF AMERICA INC

OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 2, 2002

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DIANAH T BAIRD

W-2 MANAGING EMPLOYEE · I · since Jun 3, 2024

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

PATRICK W JEFFCOAT

CORPORATE OFFICER · I · since Dec 5, 2014

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

PATRICK W JEFFCOAT

CORPORATE DIRECTOR · I · since Dec 5, 2014

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.

  • Owner is tied to 41 providers

Weekly refreshes

  • 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026

Records read from this file

  • 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

  • TOTAL HOME HEALTH CARE INCNPI 1629025911 · certification 491557 · 1935 FRONT ST, RICHLANDS, VA
  • TOTAL HOME HEALTH CARE INCsame street address in the same file

cms_hospice_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameTOTAL HOME HEALTH CARE INCCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Trading nameMEDICAL SERVICES OF AMERICA HOME HEALTH AND HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
NPI1629025911CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Medicare certification number491557CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CMS associate ID0143138628CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Organisation typeCORPORATIONCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Incorporation date1996-01-10CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
State of incorporationVACMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Street address1935 FRONT STCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CityRICHLANDSCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
StateVACMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
ZIP246412350CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 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.

Community notes

Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.

Sign in to add a note

No notes yet. If you have checked this provider, say what you found.