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Elevated
OpenScore 170

GRACE HOSPICE LLC

Doing business as ELARA CARING

Flagged provider address

4200 LITTLE BLUE PKWY, STE 530, INDEPENDENCE, MO, 64057-8312

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2022 this provider was paid $21,847 per patient, against a typical $11,921 for the same kind of provider in MO. 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 Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · c311f7

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Moderate
Owner cluster

Owner is tied to 95 providers

An owner or managing party of this provider (JOHN MCMAHON) is listed on 95 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

View the records behind this flag →

Moderate
Shared address

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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d

View the records behind this flag →

Owners and managing parties of record

GL HOLDING CORP.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 12, 2016

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

EC HOMECARE HOLDINGS, INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

EC HOMECARE HOLDINGS BUYER, INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

EC HOMECARE HOLDINGS INTERMEDIATE, INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

EC HOMECARE HOLDINGS, LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

GREAT LAKES ACQUISITION CORP.

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 12, 2016

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

BW GL HOLDINGS INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 12, 2016

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

BW NHHC HOLDCO, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

GL SUPERHOLDING CORP.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 12, 2016

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ACOF VII HOLDINGS, LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 49.3% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ARES CORPORATE OPPORTUNITIES FUND VII, L.P.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 35.8% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

DAVITA INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 32.9% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

TOTAL RENAL CARE, INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 32.9% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ARES CORPORATE OPPORTUNITIES FUND VII PARALLEL (TE), L.P.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 9.07% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

DAWSON HOLDINGS (ARMSTRONG), LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 7.8% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ACOF VII AXIOM HOLDINGS, LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 7.8% ownership · since Jul 20, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ANANTH P MOHAN

CORPORATE OFFICER · I · 0% ownership · since Jun 23, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

KATIE L MONASTIERE

CORPORATE OFFICER · I · 0% ownership · since Dec 26, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

CRYSTAL SHOVLOWSKY

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Mar 23, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ANDREA L JARRETT

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Mar 23, 2026

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ANGEL STANSBURY

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Dec 26, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

DANIEL R MANLEY

CORPORATE OFFICER · I · since Jun 8, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ANANTH P MOHAN

CORPORATE DIRECTOR · I · since Nov 1, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JOHN MCMAHON

CORPORATE OFFICER · I · since Oct 7, 2022

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

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 nameGRACE HOSPICE LLCCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Trading nameELARA CARINGCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
NPI1609885136CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Medicare certification number261596CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CMS associate ID3173435930CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Organisation typeLLCCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Incorporation date2003-07-07CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
State of incorporationMOCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Street address4200 LITTLE BLUE PKWY, STE 530CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CityINDEPENDENCECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
StateMOCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
ZIP64057-8312CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d

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