Why this was flagged
5 providers share this street address
This address is the registered location of 5 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
Many providers in separate suites of one building
This building hosts providers registered across 5 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.
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 (4)
STEADFAST HOME COMPANION SERVICES, INC
STE 488 · Incorporated Sep 20, 2004
HEARTS PALLIATIVE & HOSPICE CARE, LLC
STE 395 · Incorporated Jul 10, 2021
PRIMEWAY HEALTHCARE SERVICES, INC.
STE 750 · Incorporated Mar 14, 2006
A & S HOSPICE AND PALLIATIVE CARE LLC
STE 815 · Incorporated Apr 29, 2019
Owners and managing parties of record
RAM RAMIREZ AMPER
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Jul 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RAM RAMIREZ AMPER
CORPORATE OFFICER · I · 100% ownership · since Jul 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RAM RAMIREZ AMPER
CORPORATE DIRECTOR · I · 100% ownership · since Jul 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RAM RAMIREZ AMPER
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Jul 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RALPHY BEBIS
W-2 MANAGING EMPLOYEE · I · since Jul 1, 2021
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
VINCENT TEXON
W-2 MANAGING EMPLOYEE · I · since Jul 1, 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.
- 5 providers share this street address
- Many providers in separate suites of one building
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
- APEX-CARE HOME HEALTH, INC.NPI 1295972149 · certification 747376 · 9894 BISSONNET ST, HOUSTON, TX
- STEADFAST HOME COMPANION SERVICES, INCsame street address in the same file
- HEARTS PALLIATIVE & HOSPICE CARE, LLCsame street address in the same file
- PRIMEWAY HEALTHCARE SERVICES, INC.same street address in the same file
- A & S HOSPICE AND PALLIATIVE CARE LLCsame 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
- RAM RAMIREZ AMPER5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2021-07-01
- RAM RAMIREZ AMPERCORPORATE OFFICER · 100% share · since 2021-07-01
- RAM RAMIREZ AMPERCORPORATE DIRECTOR · 100% share · since 2021-07-01
- RAM RAMIREZ AMPERW-2 MANAGING EMPLOYEE · 100% share · since 2021-07-01
- RALPHY BEBISW-2 MANAGING EMPLOYEE · since 2021-07-01
- VINCENT TEXONW-2 MANAGING EMPLOYEE · since 2021-07-01
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Apex Care Home Health Inc — 2024$1,685,110 paid · 187 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 | APEX-CARE HOME HEALTH, INC. | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1295972149 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 747376 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 2769535772 | 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 | 2009-01-06 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | TX | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 9894 BISSONNET ST, STE 460 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | HOUSTON | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | TX | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 770368243 | 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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