Elevated

OpenScore 180

RUBY HEARTS HEALTHCARE

19626 VENTURA BLVD, STE 220, TARZANA, CA, 913566026

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Why this was flagged

Elevated

Shared address

5 providers share this street address

This address is the registered location of 5 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 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Elevated

Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 5 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Other providers at this street address (4)

OC HOME HEALTH CARE, INC.

STE 223 · Incorporated Jun 1, 2010

IN-HOME HEALTH CARE SUPPORT AND SERVICES LLC

STE 228 · Incorporated Oct 9, 2020

EMERALD HEARTS HEALTHCARE

UNIT 220A · Incorporated Nov 29, 2021

OC HOSPICE CARE INC

STE 225 · Incorporated Jan 30, 2019

Owners and managing parties of record

ILONA SHIKOIANTS

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 51% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ILONA SHIKOIANTS

CORPORATE OFFICER · I · 51% ownership · since Nov 29, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ILONA SHIKOIANTS

CORPORATE DIRECTOR · I · 51% ownership · since Nov 29, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ILONA SHIKOIANTS

W-2 MANAGING EMPLOYEE · I · 51% ownership · since Nov 29, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ARA ARSHAWEN ARMAIN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 25% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ARA ARSHAWEN ARMAIN

CORPORATE OFFICER · I · 25% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

ARA ARSHAWEN ARMAIN

CORPORATE DIRECTOR · I · 25% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

NINUB TONY RAMMO

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 24% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

NINUB TONY RAMMO

CORPORATE OFFICER · I · 24% ownership · since Aug 9, 2025

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

NINUB TONY RAMMO

CORPORATE DIRECTOR · I · 24% ownership · since Aug 9, 2025

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.

CMS Home Health Agency Enrollments

2 flags

5 providers share this street address
Many providers in separate suites of one building

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

RUBY HEARTS HEALTHCARENPI 1427717313 · certification 757719 · 19626 VENTURA BLVD, TARZANA, CA
OC HOME HEALTH CARE, INC.same street address in the same file
IN-HOME HEALTH CARE SUPPORT AND SERVICES LLCsame street address in the same file
EMERALD HEARTS HEALTHCAREsame street address in the same file
OC HOSPICE CARE INCsame street address in the same file

CMS Home Health Agency All Owners

background detail only

Weekly refreshes

18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026

Records read from this file

ILONA SHIKOIANTS5% OR GREATER DIRECT OWNERSHIP INTEREST · 51% share · since 2025-08-09
ILONA SHIKOIANTSCORPORATE OFFICER · 51% share · since 2021-11-29
ILONA SHIKOIANTSCORPORATE DIRECTOR · 51% share · since 2021-11-29
ILONA SHIKOIANTSW-2 MANAGING EMPLOYEE · 51% share · since 2021-11-29
ARA ARSHAWEN ARMAIN5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% share · since 2025-08-09
ARA ARSHAWEN ARMAINCORPORATE OFFICER · 25% share · since 2025-08-09
ARA ARSHAWEN ARMAINCORPORATE DIRECTOR · 25% share · since 2025-08-09
NINUB TONY RAMMO5% OR GREATER DIRECT OWNERSHIP INTEREST · 24% share · since 2025-08-09

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	RUBY HEARTS HEALTHCARE	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
NPI	1427717313	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Medicare certification number	757719	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
CMS associate ID	5698121770	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	CORPORATION	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Street address	19626 VENTURA BLVD, STE 220	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
City	TARZANA	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
State	CA	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
ZIP	913566026	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.

Community notes

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This is a lead, not an accusation

Flags are statistical anomalies in public records. Many have lawful explanations. Verify before you report.

Where this came from

CMS Home Health Agency Enrollmentsdata as of Jul 27, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · c6841a
CMS Home Health Agency All Ownersdata as of Aug 19, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · f10296

All sources are refreshed every Monday. Full source list

Record details

NPI: 1427717313
Medicare CCN: 757719
Provider type: PART A PROVIDER - HOME HEALTH AGENCY
Organisation type: CORPORATION
Incorporated: —
Incorporation state: —
Flagged signals: 2
Last refreshed: Sep 18, 2026

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