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 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)
RELIABLE HOME HEALTH SERVICES INC
STE 500 · Incorporated Apr 2, 2021
Owners and managing parties of record
ANGELINA AVETISYAN
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Jun 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ORLENA MARIE KASTNING
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Jun 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ANGELINA AVETISYAN
CORPORATE OFFICER · I · since Jun 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ORLENA MARIE KASTNING
CORPORATE OFFICER · I · since Jun 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ORLENA MARIE KASTNING
W-2 MANAGING EMPLOYEE · I · since Jan 2, 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.
- 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
- VITALITY FIRST HOME HEALTH CARENPI 1538782438 · certification 559644 · 5250 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA
- RELIABLE HOME HEALTH SERVICES INCsame street address in the same file
CMS Home Health Agency All Owners
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- ANGELINA AVETISYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2020-06-01
- ORLENA MARIE KASTNING5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2020-06-01
- ANGELINA AVETISYANCORPORATE OFFICER · since 2020-06-01
- ORLENA MARIE KASTNINGCORPORATE OFFICER · since 2020-06-01
- ORLENA MARIE KASTNINGW-2 MANAGING EMPLOYEE · since 2021-01-02
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Vitality First Home Health Care — 2024$963,631 paid · 104 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 | VITALITY FIRST HOME HEALTH CARE | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1538782438 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 559644 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 3577981968 | 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 | 2020-05-21 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | CA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 5250 LANKERSHIM BLVD, STE 540 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | NORTH HOLLYWOOD | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | CA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 916013187 | 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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