← Lead board
Critical
OpenScore 450

PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA

Doing business as PROVIDENCE HOME HEALTH LA COUNTY SOUTH

5315 TORRANCE BLVD, # B-169, TORRANCE, CA, 905034011

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Critical
Excluded owner

An owner matches the federal exclusion list

A person or company listed as an owner or managing party of this provider matches a name on the HHS OIG list of individuals and entities excluded from federal healthcare programs. Names can coincide, so the identity must be confirmed before this means anything.

Source HHS OIG Exclusion List (LEIE) · record as of 18 Sept 2026 · pulled 18 Sept 2026 · version 2026-09-18 · e6ca62

High
Owner cluster

Owner is tied to 31 providers

An owner or managing party of this provider (PROVIDENCE HEALTH & SERVICES - WASHINGTON) is listed on 31 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.

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

Moderate
Shared address

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)

PROVIDENCE TRINITYCARE HOSPICE

STE B1 · Incorporated Dec 23, 1977

View lead

Owners and managing parties of record

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 1, 2005

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

JAMES MARTIN

CORPORATE OFFICER · I · 0% ownership · since Jan 13, 2023

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

DONNA MARKHAM

CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024

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

ERIK WEXLER

CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023

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

MARY BETH KINGSTON

CORPORATE DIRECTOR · I · 0% ownership · since Sep 1, 2022

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

MARVIN O'QUINN

CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024

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

ANNA R NEWSOM

CORPORATE OFFICER · I · 0% ownership · since May 13, 2022

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

TERRI P WARREN

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Nov 1, 2022

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

NICOLE SIKES

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Aug 22, 2022

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

DONALD WAYNE ANDERSON

CORPORATE OFFICER · I · since Dec 20, 2016

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

GREGORY DAVID HOFFMAN

CORPORATE OFFICER · I · since Oct 1, 2020

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

ISIAAH D CRAWFORD

CORPORATE DIRECTOR · I · since Feb 1, 2012

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

MICHAEL W MURPHY

CORPORATE DIRECTOR · I · since Jan 1, 2020

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

PROVIDENCE HEALTH & SERVICES

OTHER · O · since Jul 1, 2016

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

ERIC D SPRUNK

CORPORATE DIRECTOR · I · since Jan 1, 2022

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

DIANE L HEJNA

CORPORATE DIRECTOR · I · since Jul 1, 2016

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

PROVIDENCE ST. JOSEPH HEALTH

OTHER · O · since Jul 1, 2016

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

RICHARD S BLAIR

CORPORATE DIRECTOR · I · since Jul 1, 2016

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

CAROL ELIZABETH PACINI

CORPORATE DIRECTOR · I · since Jan 1, 2021

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 16, 2010

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

MARY E LYONS

CORPORATE DIRECTOR · I · since Jul 1, 2016

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

PHYLLIS M HUGHES

CORPORATE DIRECTOR · I · since Jan 1, 2014

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

MALISA J WESTLUND

W-2 MANAGING EMPLOYEE · I · since Mar 6, 2020

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

CHARLES WALLACE SORENSON

CORPORATE DIRECTOR · I · since Jan 1, 2019

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

MICHAEL D ROBINSON

W-2 MANAGING EMPLOYEE · I · since Jan 1, 2021

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.

  • Owner is tied to 31 providers

Weekly refreshes

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

Records read from this file

  • 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

  • An owner matches the federal exclusion list

Weekly refreshes

  • 21 Sept 2026 (in use)1,000 records(running)
  • 18 Sept 202683,953 records
  • 18 Sept 202634,978 records(running)
  • 18 Sept 202639,976 records(failed)
  • 18 Sept 20261,000 records(failed)

Records read from this file

cms_home_health_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

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.

DetailValuePublished fileRecord as ofPulledVersion
Legal namePROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIACMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Trading namePROVIDENCE HOME HEALTH LA COUNTY SOUTHCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
NPI1700890514CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Medicare certification number557447CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CMS associate ID0244268738CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Incorporation date1903-12-05CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
State of incorporationCACMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Street address5315 TORRANCE BLVD, # B-169CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CityTORRANCECMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
StateCACMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
ZIP905034011CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 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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