Why this was flagged
Owner is tied to 11 providers
An owner or managing party of this provider (ARMEN APOYAN) is listed on 11 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
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)
DOCTORS PREFERRED HOME HEALTH INC
STE 141 · Incorporated Nov 9, 2017
Owners and managing parties of record
NVARD BALYAN
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NVARD BALYAN
CORPORATE OFFICER · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NVARD BALYAN
CORPORATE DIRECTOR · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NVARD BALYAN
W-2 MANAGING EMPLOYEE · I · 50% ownership · since Oct 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMEN APOYAN
CORPORATE DIRECTOR · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMEN APOYAN
W-2 MANAGING EMPLOYEE · I · 50% ownership · since Oct 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMEN APOYAN
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARMEN APOYAN
CORPORATE OFFICER · I · 50% ownership · since Apr 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TYRONE E SNIPES
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since May 6, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DEANNA MARTINEZ
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 15, 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 11 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- NVARD BALYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2019-04-01
- NVARD BALYANCORPORATE OFFICER · 50% share · since 2019-04-01
- NVARD BALYANCORPORATE DIRECTOR · 50% share · since 2019-04-01
- NVARD BALYANW-2 MANAGING EMPLOYEE · 50% share · since 2025-10-15
- ARMEN APOYANCORPORATE DIRECTOR · 50% share · since 2019-04-01
- ARMEN APOYANW-2 MANAGING EMPLOYEE · 50% share · since 2025-10-15
- ARMEN APOYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2019-04-01
- ARMEN APOYANCORPORATE OFFICER · 50% share · since 2019-04-01
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
- MD CHOICE HOSPICE INCNPI 1871920587 · certification 921512 · 4415 COWELL RD, CONCORD, CA
- DOCTORS PREFERRED HOME HEALTH INCsame street address in the same file
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Md Choice Hospice, Inc — 2024$2,876,904 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 | MD CHOICE HOSPICE INC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1871920587 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 921512 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 5991012619 | 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 |
| Street address | 4415 COWELL RD, STE 140 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | CONCORD | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | CA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 945181947 | 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.