Why this was flagged
Owner is tied to 6 providers
An owner or managing party of this provider (ROBERT MARTIN) is listed on 6 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
Owners and managing parties of record
BEXAR HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STANLEY S STUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ERNEST C FELLBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT MARTIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 18% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
REYNOLD BUNZEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 13.98% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRYON SEHLKE
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 10% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
EDWARD NEAL
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 9% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL HOSKINS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 9% ownership · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RENEE R KOHR
OPERATIONAL/MANAGERIAL CONTROL · I · 0% ownership · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
REYNOLD BUNZEL
OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT MARTIN
CORPORATE DIRECTOR · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL HOSKINS
CORPORATE OFFICER · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL HOSKINS
OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT MARTIN
CORPORATE OFFICER · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT MARTIN
OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROXANNA SCHMIDT
W-2 MANAGING EMPLOYEE · I · since Jul 14, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRYON SEHLKE
CORPORATE DIRECTOR · I · since Oct 6, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LAURA GIVENS
CONTRACTED MANAGING EMPLOYEE · I · since Jun 8, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
REYNOLD BUNZEL
CORPORATE OFFICER · I · since Oct 6, 2021
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 6 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- BEXAR HEALTHCARE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2021-10-06
- STANLEY S STUDER5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% share · since 2021-10-06
- ERNEST C FELLBAUM5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% share · since 2021-10-06
- ROBERT MARTIN5% OR GREATER INDIRECT OWNERSHIP INTEREST · 18% share · since 2021-10-06
- REYNOLD BUNZEL5% OR GREATER INDIRECT OWNERSHIP INTEREST · 13.98% share · since 2021-10-06
- BRYON SEHLKE5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10% share · since 2021-10-06
- EDWARD NEAL5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9% share · since 2021-10-06
- MICHAEL HOSKINS5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9% share · since 2021-10-06
CMS Hospice Enrollments
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
- ALAMO HOME HEALTHCARE, INC.NPI 1407049398 · certification A91534 · 250 W NOTTINGHAM DR, SAN ANTONIO, TX
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Touchstone Health — 2024$1,629,721 paid · 130 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 | ALAMO HOME HEALTHCARE, INC. | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | TOUCHSTONE HEALTH | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1407049398 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | A91534 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 8426136243 | 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 | 2006-08-04 | 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 | 250 W NOTTINGHAM DR, STE 200 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | SAN ANTONIO | 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 | 782091896 | 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.