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Elevated
OpenScore 90

DT VALLEY LLC

Doing business as AZRIA HEALTH LONGVIEW

1010 LONGVIEW RD, MISSOURI VALLEY, IA, 515551227

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Why this was flagged

Elevated
extreme_per_patient_billing

Medicare paid far more per patient than peers

In 2024 this provider was paid $25,985 per patient, against a typical $13,261 for the same kind of provider in IA. 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 CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9

Other providers at this street address (1)

GENERATIONS HOSPICE CARE INC

STE 101 · Incorporated Jan 1, 2011

Owners and managing parties of record

DOVETAIL OPCO HOLDINGS LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

AZRIA VENTURES LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

STEVEN B HORNUNG

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 50% ownership · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

AARON NOAH KAMINER

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 50% ownership · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

AARON NOAH KAMINER

CORPORATE OFFICER · I · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

DOUGLAS A WILLIAMS

W-2 MANAGING EMPLOYEE · I · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

STEVEN B HORNUNG

CORPORATE OFFICER · I · since Apr 1, 2021

Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729

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.

  • Medicare paid far more per patient than peers

Weekly refreshes

  • 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026

Records read from this file

  • DT VALLEY LLCNPI 1902481153 · certification 165373 · 1010 LONGVIEW RD, MISSOURI VALLEY, IA
  • GENERATIONS HOSPICE CARE INCsame street address in the same file

Weekly refreshes

  • 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026

Records read from this file

cms_snf_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 nameDT VALLEY LLCCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
Trading nameAZRIA HEALTH LONGVIEWCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
NPI1902481153CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
Medicare certification number165373CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
CMS associate ID6406265933CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
Street address1010 LONGVIEW RDCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
CityMISSOURI VALLEYCMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
StateIACMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9
ZIP515551227CMS Skilled Nursing Facility EnrollmentsAug 17, 2026Sep 18, 20262026-09-18 · 02c2f9

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.

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