Why this was flagged
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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Owner is tied to 5 providers
An owner or managing party of this provider (GREGORY LANCE SMITH) is listed on 5 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
Other providers at this street address (1)
NATCHITOCHES HOME HEALTH SERVICES, INC.
Incorporated May 21, 1969
Owners and managing parties of record
SHERRY SPIVEY
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Mar 7, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GREGORY LANCE SMITH
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Mar 19, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GREGORY LANCE SMITH
W-2 MANAGING EMPLOYEE · I · 100% ownership · since May 15, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MARK V SHELTON
CONTRACTED MANAGING EMPLOYEE · I · since Jan 1, 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 5 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- SHERRY SPIVEYW-2 MANAGING EMPLOYEE · 100% share · since 2022-03-07
- GREGORY LANCE SMITH5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2023-03-19
- GREGORY LANCE SMITHW-2 MANAGING EMPLOYEE · 100% share · since 2018-05-15
- MARK V SHELTONCONTRACTED MANAGING EMPLOYEE · since 2025-01-01
CMS Hospice Enrollments
- 2 providers share this street address
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
- HAND IN HAND HOSPICE CARE LLCNPI 1497232748 · certification 191690 · 135 E 5TH ST, NATCHITOCHES, LA
- NATCHITOCHES HOME HEALTH SERVICES, INC.same street address in the same file
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Hand In Hand Hospice Care, Llc — 2024$1,345,931 paid · 85 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 | HAND IN HAND HOSPICE CARE LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1497232748 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 191690 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 2365776168 | 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 |
| Street address | 135 E 5TH ST | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | NATCHITOCHES | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | LA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 714575723 | 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.