Why this was flagged
An owner matches the federal exclusion list
A person or company listed as an owner or managing party of this provider matches a name on the HHS OIG list of individuals and entities excluded from federal healthcare programs. Names can coincide, so the identity must be confirmed before this means anything.
Source HHS OIG Exclusion List (LEIE) · record as of 18 Sept 2026 · pulled 18 Sept 2026 · version 2026-09-18 · e6ca62
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
Other providers at this street address (1)
LA ESPERANZA HOME HEALTH, INC.
Incorporated Oct 27, 2006
Owners and managing parties of record
CARLOS RAMIREZ
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 25% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MANUEL RAMIREZ
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 25% ownership · since Jun 12, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JORGE RAMIREZ
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 25% ownership · since Jun 12, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DORA RAMIREZ
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 25% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DORA RAMIREZ
CORPORATE OFFICER · I · 0% ownership · since Jun 12, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DORA RAMIREZ
CORPORATE DIRECTOR · I · 0% ownership · since Apr 22, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DORA RAMIREZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JORGE RAMIREZ
CORPORATE OFFICER · I · 0% ownership · since Jun 12, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JORGE RAMIREZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MANUEL RAMIREZ
CORPORATE OFFICER · I · 0% ownership · since Jun 12, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMANDO R HINOJOSA
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 8, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MANUEL RAMIREZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMANDO R HINOJOSA
CORPORATE DIRECTOR · I · 0% ownership · since Dec 8, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARLOS RAMIREZ
CORPORATE OFFICER · I · 0% ownership · since Oct 24, 2006
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARLOS RAMIREZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Dec 28, 2016
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 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
- LA ESPERANZA HOME HEALTH, INC.NPI 1467624122 · certification 741774 · 5703 SPRINGFIELD AVE, LAREDO, TX
- LA ESPERANZA HOME HEALTH, INC.same street address in the same file
- An owner matches the federal exclusion list
Weekly refreshes
- 21 Sept 2026 (in use)1,000 records(running)
- 18 Sept 202683,953 records
- 18 Sept 202634,978 records(running)
- 18 Sept 202639,976 records(failed)
- 18 Sept 20261,000 records(failed)
Records read from this file
- JORGE RAMIREZexcluded 2011-06-20 · type 1128a1
CMS Hospice All Owners
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- CARLOS RAMIREZ5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% share · since 2006-10-24
- MANUEL RAMIREZ5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% share · since 2023-06-12
- JORGE RAMIREZ5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% share · since 2023-06-12
- DORA RAMIREZ5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% share · since 2006-10-24
- DORA RAMIREZCORPORATE OFFICER · 0% share · since 2023-06-12
- DORA RAMIREZCORPORATE DIRECTOR · 0% share · since 2008-04-22
- DORA RAMIREZW-2 MANAGING EMPLOYEE · 0% share · since 2006-10-24
- JORGE RAMIREZCORPORATE OFFICER · 0% share · since 2023-06-12
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- La Esperanza Home Health Inc — 2024$340,232 paid · 20 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 | LA ESPERANZA HOME HEALTH, INC. | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1467624122 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 741774 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 6507921525 | 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 | CORPORATION | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2006-10-27 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 5703 SPRINGFIELD AVE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | LAREDO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 780413282 | 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.