Elevated

OpenScore 180

RELIEF HOME HEALTH CARE INC

7335 VAN NUYS BLVD, STE 203, VAN NUYS, CA, 914051969

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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)

REAL CARE HOME HEALTH

STE 107B · Incorporated —

EL PRIMERO HOME HEALTH CARE INC

STE 223 · Incorporated —

CANESTRO CARE HOSPICE INC

UNIT 226 · Incorporated Sep 23, 2020

HFS HOSPICE CARE INC

STE 202 · Incorporated —

Owners and managing parties of record

LORETA KESHISHIAN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 30% ownership · since May 24, 2016

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

LORETA KESHISHIAN

CORPORATE OFFICER · I · 30% ownership · since May 24, 2016

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

LORETA KESHISHIAN

CORPORATE DIRECTOR · I · 30% ownership · since May 24, 2016

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

LORETA KESHISHIAN

W-2 MANAGING EMPLOYEE · I · 30% ownership · since May 24, 2016

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

LORETA KESHISHIAN

OPERATIONAL/MANAGERIAL CONTROL · I · 30% ownership · since May 24, 2016

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

FATIMA GUINET

OPERATIONAL/MANAGERIAL CONTROL · I · 30% ownership · since May 24, 2016

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

MERINE TIFTIKCHYAN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 30% ownership · since May 24, 2016

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

MERINE TIFTIKCHYAN

CORPORATE OFFICER · I · 30% ownership · since May 24, 2016

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

MERINE TIFTIKCHYAN

CORPORATE DIRECTOR · I · 30% ownership · since May 24, 2016

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

MERINE TIFTIKCHYAN

W-2 MANAGING EMPLOYEE · I · 30% ownership · since May 24, 2016

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

MERINE TIFTIKCHYAN

OPERATIONAL/MANAGERIAL CONTROL · I · 30% ownership · since May 24, 2016

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

FATIMA GUINET

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 30% ownership · since May 24, 2016

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

FATIMA GUINET

CORPORATE OFFICER · I · 30% ownership · since May 24, 2016

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

FATIMA GUINET

CORPORATE DIRECTOR · I · 30% ownership · since May 24, 2016

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

FATIMA GUINET

W-2 MANAGING EMPLOYEE · I · 30% ownership · since May 24, 2016

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

SILVA EPREMIAN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 10% ownership · since May 24, 2016

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

SILVA EPREMIAN

CORPORATE OFFICER · I · 10% ownership · since May 24, 2016

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

SILVA EPREMIAN

CORPORATE DIRECTOR · I · 10% ownership · since May 24, 2016

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

SILVA EPREMIAN

W-2 MANAGING EMPLOYEE · I · 10% ownership · since May 24, 2016

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

SILVA EPREMIAN

OPERATIONAL/MANAGERIAL CONTROL · I · 10% ownership · since May 24, 2016

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

DEANNA TAGVORYAN

CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Apr 3, 2026

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

RELIEF HOME HEALTH CARE INCNPI 1770934291 · certification 559327 · 7335 VAN NUYS BLVD, VAN NUYS, CA
REAL CARE HOME HEALTHsame street address in the same file
EL PRIMERO HOME HEALTH CARE INCsame street address in the same file
CANESTRO CARE HOSPICE INCsame street address in the same file
HFS 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

LORETA KESHISHIAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 30% share · since 2016-05-24
LORETA KESHISHIANCORPORATE OFFICER · 30% share · since 2016-05-24
LORETA KESHISHIANCORPORATE DIRECTOR · 30% share · since 2016-05-24
LORETA KESHISHIANW-2 MANAGING EMPLOYEE · 30% share · since 2016-05-24
LORETA KESHISHIANOPERATIONAL/MANAGERIAL CONTROL · 30% share · since 2016-05-24
FATIMA GUINETOPERATIONAL/MANAGERIAL CONTROL · 30% share · since 2016-05-24
MERINE TIFTIKCHYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 30% share · since 2016-05-24
MERINE TIFTIKCHYANCORPORATE OFFICER · 30% share · since 2016-05-24

cms_home_health_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

Relief Home Health Care, Inc — 2024$1,562,499 paid · 179 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	RELIEF HOME HEALTH CARE INC	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
NPI	1770934291	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Medicare certification number	559327	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
CMS associate ID	5698103562	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	7335 VAN NUYS BLVD, STE 203	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
City	VAN NUYS	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	914051969	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: 1770934291
Medicare CCN: 559327
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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