Why this was flagged
12 providers share this street address
This address is the registered location of 12 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
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Medicare paid far more per patient than peers
In 2023 this provider was paid $15,254 per patient, against a typical $7,203 for the same kind of provider in TX. 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 Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19
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Many providers in separate suites of one building
This building hosts providers registered across 12 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
View the records behind this flag →
Owners and managing parties of record
AMIN ALWANI
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Oct 1, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
AMIN ALWANI
CORPORATE DIRECTOR · I · since Oct 1, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
AMIN ALWANI
W-2 MANAGING EMPLOYEE · I · since Oct 1, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
NAZNEEN ALWANI
CORPORATE DIRECTOR · I · since Oct 1, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
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Source records
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | AN&SS CARE GROUP, LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | IVANA HOME HEALTH SERVICES | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1619457827 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 677935 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 8820332711 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 12808 W AIRPORT BLVD, STE 343 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | SUGAR LAND | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | TX | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 77478-6229 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
What changed
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