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Elevated
OpenScore 100

ARLINGTON REHABILITATION & HEALTHCARE CENTER, LLC

Doing business as ARLINGTON REHABILITATION & HEALTHCARE CENTER

Flagged provider address

1020 TUSCALOOSA AVENUE SW, BIRMINGHAM, AL, 35211-1619

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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 $23,590 per patient, against a typical $11,844 for the same kind of provider in AL. 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 Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

View the records behind this flag →

Info
Owner cluster

Owner is tied to 9 providers

An owner or managing party of this provider (CLARENCE MELVIN BALL) is listed on 9 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

CLARENCE MELVIN BALL

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Jul 1, 2003

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

CLARENCE MELVIN BALL

CORPORATE DIRECTOR · I · 100% ownership · since Jul 11, 2003

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MARCOS ALMONTE SENCION

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MARCOS ALMONTE SENCION

ADP OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BALL HEALTHCARE SERVICE, INC

ADP OF THE SNF · O · since Apr 11, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

VERLISA S HOLLIS

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 3, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MATTHEW HALL

CORPORATE OFFICER · I · since Oct 1, 2014

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MATTHEW HALL

ADP OF THE SNF · I · since Oct 1, 2014

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BRANDON T UPSHAW

OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 23, 2019

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BRANDON T UPSHAW

ADP OF THE SNF · I · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BALL HEALTHCARE - MOUNTAINVIEW, INC.

ADP OF THE SNF · O · since Jul 1, 2003

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameARLINGTON REHABILITATION & HEALTHCARE CENTER, LLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameARLINGTON REHABILITATION & HEALTHCARE CENTERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1679518450CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number015153CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID8325958218CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Incorporation date2003-05-14CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
State of incorporationALCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address1020 TUSCALOOSA AVENUE SWCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityBIRMINGHAMCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateALCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP35211-1619CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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