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Elevated
OpenScore 190

ANCHORED BY GRACE HOSPICE CARE INC.

Flagged provider address

2819 NW LOOP 410, STE P, SAN ANTONIO, TX, 78230-5105

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Why this was flagged

Elevated
Shared address

6 providers share this street address

This address is the registered location of 6 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 Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d

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Elevated
Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 6 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d

View the records behind this flag →

Info
Owner cluster

Owner is tied to 18 providers

An owner or managing party of this provider (JUSTO L CISNEROS) is listed on 18 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

View the records behind this flag →

Owners and managing parties of record

SHANNA WURM

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Oct 2, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SHANNA WURM

OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Oct 2, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LUCINA B TREVINO

CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Nov 23, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

AMANDA VASQUEZ

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Aug 24, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JUSTO L CISNEROS

CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Aug 20, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ALEXIS MONTELONGO

CORPORATE OFFICER · I · 0% ownership · since Aug 24, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ALEXIS MONTELONGO

CORPORATE DIRECTOR · I · 0% ownership · since Aug 24, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ALEXIS MONTELONGO

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 21, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ALEXIS MONTELONGO

OPERATIONAL/MANAGERIAL CONTROL · I · 0% ownership · since Jul 27, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

PAULA VASQUEZ

W-2 MANAGING EMPLOYEE · I · since Aug 24, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SHANNA WURM

CORPORATE OFFICER · I · since Oct 2, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SHANNA WURM

CORPORATE DIRECTOR · I · since Oct 2, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SHANNA WURM

W-2 MANAGING EMPLOYEE · I · since Oct 2, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameANCHORED BY GRACE HOSPICE CARE INC.CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
NPI1780356931CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Medicare certification numberA91591CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CMS associate ID4789070749CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Organisation typeCORPORATIONCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Street address2819 NW LOOP 410, STE PCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CitySAN ANTONIOCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
StateTXCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
ZIP78230-5105CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d

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