Why this was flagged
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 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 (1)
BEK HEALTH SERVICES LLC
STE 310 · Incorporated Oct 20, 2010
Owners and managing parties of record
ALBERT PALMAREZ
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · since Nov 27, 1996
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALBERT PALMAREZ
CORPORATE OFFICER · I · since Jan 28, 2011
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALBERT PALMAREZ
CORPORATE DIRECTOR · I · since Nov 27, 1996
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KARIE SPELL
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · since Jul 11, 2018
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KARIE SPELL
CORPORATE OFFICER · I · since Aug 12, 2008
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KARIE SPELL
CORPORATE DIRECTOR · I · since Sep 24, 2007
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KARIE SPELL
OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 2, 2007
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.
- 2 providers share this street address
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
- IMMANUEL HOME HEALTH CARE INCNPI 1548319288 · certification 678499 · 1300 ROLLINGBROOK DR, BAYTOWN, TX
- BEK HEALTH SERVICES LLCsame street address in the same file
CMS Home Health Agency All Owners
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- ALBERT PALMAREZ5% OR GREATER DIRECT OWNERSHIP INTEREST · since 1996-11-27
- ALBERT PALMAREZCORPORATE OFFICER · since 2011-01-28
- ALBERT PALMAREZCORPORATE DIRECTOR · since 1996-11-27
- KARIE SPELL5% OR GREATER DIRECT OWNERSHIP INTEREST · since 2018-07-11
- KARIE SPELLCORPORATE OFFICER · since 2008-08-12
- KARIE SPELLCORPORATE DIRECTOR · since 2007-09-24
- KARIE SPELLOPERATIONAL/MANAGERIAL CONTROL · since 2007-10-02
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Signature Health Services — 2024$7,664,617 paid · 1,153 patients
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 | IMMANUEL HOME HEALTH CARE INC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | SIGNATURE HEALTH SERVICES | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1548319288 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 678499 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 3678658911 | 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 |
| Incorporation date | 1995-11-09 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | TX | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 1300 ROLLINGBROOK DR, STE 306 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | BAYTOWN | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | TX | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 775213863 | 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.