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 9 Nov 2026 · version 2026-11-09 · db4c19
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Owner is tied to 7 providers
An owner or managing party of this provider (MAX R LAFER) is listed on 7 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
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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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JEFFREY SHEMIA
CORPORATE OFFICER · I · 51% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JEFFREY SHEMIA
CORPORATE DIRECTOR · I · 51% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
AGNES SHEMIA
CORPORATE OFFICER · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
AGNES SHEMIA
CORPORATE DIRECTOR · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ARTHUR J BYRD
CORPORATE DIRECTOR · I · 49% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ARTHUR J BYRD
CORPORATE OFFICER · I · 10% ownership · since Dec 13, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MAX R LAFER
CORPORATE OFFICER · I · 3% ownership · since Jan 4, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
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Source records
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | EXTENDED NURSING PERSONNEL CHHA LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | EXTENDED HOME CARE | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1396836219 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 337414 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 5092625152 | 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 | 1996-06-01 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | NY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 7 PENN PLZ, STE 422 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | NEW YORK | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | NY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 10001-0022 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
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