Why this was flagged
Owner is tied to 149 providers
An owner or managing party of this provider (CORNERSTONE HEALTHCARE INC) is listed on 149 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
3 providers share this street address
This address is the registered location of 3 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 (2)
Owners and managing parties of record
THE PENNANT GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 1, 2019
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
PARAGON HEALTHCARE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 28, 2012
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
CORNERSTONE HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since May 25, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JOHN J GOCHNOUR
CORPORATE OFFICER · I · 0% ownership · since Oct 24, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DEVIN ROTHWELL
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Aug 30, 2019
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
AMBER TUELLER
CORPORATE OFFICER · I · 0% ownership · since Oct 24, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BRENT MILLS
CORPORATE OFFICER · I · 0% ownership · since Mar 26, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BRENT GUERISOLI
CORPORATE DIRECTOR · I · 0% ownership · since Oct 6, 2022
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 149 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- THE PENNANT GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2019-10-01
- PARAGON HEALTHCARE, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2012-11-28
- CORNERSTONE HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2016-05-25
- JOHN J GOCHNOURCORPORATE OFFICER · 0% share · since 2025-10-24
- DEVIN ROTHWELLW-2 MANAGING EMPLOYEE · 0% share · since 2019-08-30
- AMBER TUELLERCORPORATE OFFICER · 0% share · since 2025-10-24
- BRENT MILLSCORPORATE OFFICER · 0% share · since 2026-03-26
- BRENT GUERISOLICORPORATE DIRECTOR · 0% share · since 2022-10-06
- 3 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
- SYMBOL HEALTHCARE, INC.NPI 1912242678 · certification 507101 · 4002 TACOMA MALL BLVD, TACOMA, WA
- SYMBOL HEALTHCARE, INC.same street address in the same file
- EMERALD HEALTHCARE, INC.same street address in the same file
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Puget Sound Home Health — 2024$4,655,750 paid · 846 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 | SYMBOL HEALTHCARE, INC. | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | PUGET SOUND HOME HEALTH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1912242678 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 507101 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 9931354883 | 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 | 2012-11-28 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | NV | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 4002 TACOMA MALL BLVD, STE 204 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | TACOMA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | WA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 984097702 | 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.
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