Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $15,306,934, against a typical payment of $899,466 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 31bbc0
Owner is tied to 6 providers
An owner or managing party of this provider (MAX R LAFER) is listed on 6 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
Owners and managing parties of record
EXTENDED CHHA ACQUISITION, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JEFFREY SHEMIA
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 51% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JEFFREY SHEMIA
CORPORATE OFFICER · I · 51% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JEFFREY SHEMIA
CORPORATE DIRECTOR · I · 51% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
AGNES SHEMIA
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
AGNES SHEMIA
CORPORATE OFFICER · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
AGNES SHEMIA
CORPORATE DIRECTOR · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ARTHUR J BYRD
CORPORATE DIRECTOR · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ARTHUR J BYRD
CORPORATE OFFICER · I · 10% ownership · since Dec 13, 2023
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MAX R LAFER
CORPORATE OFFICER · I · 3% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MAX R LAFER
W-2 MANAGING EMPLOYEE · I · 2% ownership · since Jan 4, 2022
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 6 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- EXTENDED CHHA ACQUISITION, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2022-01-04
- JEFFREY SHEMIA5% OR GREATER INDIRECT OWNERSHIP INTEREST · 51% share · since 2022-01-04
- JEFFREY SHEMIACORPORATE OFFICER · 51% share · since 2022-01-04
- JEFFREY SHEMIACORPORATE DIRECTOR · 51% share · since 2022-01-04
- AGNES SHEMIA5% OR GREATER INDIRECT OWNERSHIP INTEREST · 49% share · since 2022-01-04
- AGNES SHEMIACORPORATE OFFICER · 49% share · since 2022-01-04
- AGNES SHEMIACORPORATE DIRECTOR · 49% share · since 2022-01-04
- ARTHUR J BYRDCORPORATE DIRECTOR · 49% share · since 2022-01-04
- Medicare paid this provider far more than its peers
Weekly refreshes
- 18 Sept 2026 (in use)8,609 recordspublisher data as of 11 Aug 2026
Records read from this file
- Extended Home Care — 2024$15,306,934 paid · 2,792 patients
CMS Home Health Agency Enrollments
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
- EXTENDED NURSING PERSONNEL CHHA LLCNPI 1396836219 · certification 337414 · 7 PENN PLZ, NEW YORK, NY
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 | EXTENDED NURSING PERSONNEL CHHA LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | EXTENDED HOME CARE | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1396836219 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 337414 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 5092625152 | 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 | 1996-06-01 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | NY | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 7 PENN PLZ, STE 422 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | NEW YORK | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | NY | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 100010022 | 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.