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Elevated
OpenScore 100

MAIN AND ASSOCIATES INC

Doing business as SOUTHERN SPRINGS HEALTHCARE

Flagged provider address

745 SOUTHERN SPRINGS RD, UNION SPRINGS, AL, 36089-6643

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $23,629 per patient, against a typical $11,648 for the same kind of provider in AL. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

View the records behind this flag →

Info
Owner cluster

Owner is tied to 5 providers

An owner or managing party of this provider (ARMSTEAD PHARMACY PROVIDER SERVICES LLC) is listed on 5 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

BENJAMIN MAIN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 34.21% ownership · since Oct 17, 1994

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BRENDA F EMFINGER

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 31.58% ownership · since Oct 17, 1994

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

PATRICIA T MCGREGOR

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 31.58% ownership · since Jun 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

PATRICIA T MCGREGOR

DIRECT OWNERSHIP INTEREST · I · 31.58% ownership · since Jun 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

RUBY B FINNEY

OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 9, 1994

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

RUBY B FINNEY

ADP OF THE SNF · I · since Oct 27, 1994

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KATHY C SCOTT

OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KATHY C SCOTT

ADP OF THE SNF · I · since Nov 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 13, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · O · since Apr 13, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

SCOTTY ARMSTEAD

OPERATIONAL/MANAGERIAL CONTROL · I · since May 1, 2017

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

SCOTTY ARMSTEAD

ADP OF THE SNF · I · since May 1, 2017

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

TAHIR SIDDIQ

OPERATIONAL/MANAGERIAL CONTROL · O · since Oct 1, 2020

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

TAHIR SIDDIQ

ADP OF THE SNF · O · since Apr 14, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

TAHIR SIDDIQ

OPERATIONAL/MANAGERIAL CONTROL · I · since Oct 1, 2020

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

TAHIR SIDDIQ

ADP OF THE SNF · I · since Oct 1, 2020

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ARMSTEAD PHARMACY PROVIDER SERVICES LLC

ADP OF THE SNF · O · since Jan 1, 2018

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KRISTY TANNER

OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 26, 2005

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KRISTY TANNER

ADP OF THE SNF · I · since Sep 26, 2005

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameMAIN AND ASSOCIATES INCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameSOUTHERN SPRINGS HEALTHCARECMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1609872290CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number015171CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID8426083882CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeCORPORATIONCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Incorporation date1991-07-08CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
State of incorporationALCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address745 SOUTHERN SPRINGS RDCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityUNION SPRINGSCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateALCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP36089-6643CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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