Why this was flagged
Owner is tied to 11 providers
An owner or managing party of this provider (DANIEL E STRAUS) is listed on 11 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Owners and managing parties of record
CARE SOLUTIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL T PARKE
CORPORATE DIRECTOR · I · 100% ownership · since Apr 30, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARE ALTERNATIVES HOSPICE SERVICES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AMY RANALLI RUDDEN
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Dec 9, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MARY ELIZABETH BALLENGER
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Aug 13, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TRACY A BLOSSOM
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Nov 24, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT A DURAKO
CORPORATE DIRECTOR · I · 100% ownership · since Dec 1, 2013
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HEALTH RESOURCE PARTNER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 71.91% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HRP CAPITAL, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 71.91% ownership · since Nov 6, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NORTH AMERICAN MEDICAL MANAGEMENT -NEW JERSEY INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 71.91% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DANIEL E STRAUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 63.47% ownership · since Jan 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DES-I 2016 GRAT
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 46.78% ownership · since Jul 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARE ONE ANCILLARY HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.09% ownership · since Jan 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DLJ CREDIT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.13% ownership · since Jun 10, 2003
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
CORPORATE OFFICER · I · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
W-2 MANAGING EMPLOYEE · I · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
VICTORIA SANTOS
W-2 MANAGING EMPLOYEE · I · since Feb 19, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
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 Hospice All Owners
- Owner is tied to 11 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- CARE SOLUTIONS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2008-01-01
- MICHAEL T PARKECORPORATE DIRECTOR · 100% share · since 2019-04-30
- CARE ALTERNATIVES HOSPICE SERVICES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2008-01-01
- AMY RANALLI RUDDENW-2 MANAGING EMPLOYEE · 100% share · since 2024-12-09
- MARY ELIZABETH BALLENGERW-2 MANAGING EMPLOYEE · 100% share · since 2023-08-13
- TRACY A BLOSSOMW-2 MANAGING EMPLOYEE · 100% share · since 2025-11-24
- ROBERT A DURAKOCORPORATE DIRECTOR · 100% share · since 2013-12-01
- HEALTH RESOURCE PARTNER LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 71.91% share · since 2022-01-01
CMS Hospice Enrollments
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- CARE ALTERNATIVES OF PENNSYLVANIA, LLCNPI 1710949557 · certification 391643 · 1120 WELSH RD, NORTH WALES, PA
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Ascend Hospice — 2024$10,810,054 paid · 648 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 | CARE ALTERNATIVES OF PENNSYLVANIA, LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | ASCEND HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1710949557 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 391643 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 7416034335 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2002-05-07 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | DE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 1120 WELSH RD, STE 220 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | NORTH WALES | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | PA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 194543794 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
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.