Why this was flagged
4 providers share this street address
This address is the registered location of 4 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
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Many providers in separate suites of one building
This building hosts providers registered across 4 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
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Owner is tied to 21 providers
An owner or managing party of this provider (ALTERNATE SOLUTIONS HEALTH NETWORK LLC) is listed on 21 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
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Owners and managing parties of record
ASHN MIDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 42% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HEALTHCARE DAYTON, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 42% ownership · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ASHN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 42% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
COMMUNITY FIRST SOLUTIONS
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 30% ownership · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
KETTCOR
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 28% ownership · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 23.7% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
THE WARREN D. GANZSARTO AMENDED REVOCABLE LIVING TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 22.23% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
KETTCOR
OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
EVERETT NEAL
CORPORATE OFFICER · I · since Apr 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HEALTHCARE DAYTON, LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
TESSIE GANZSARTO
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
TESSIE GANZSARTO
CORPORATE OFFICER · I · since Sep 9, 2002
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
KETTERING MEDICAL CENTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HEALTH NETWORK LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
COMMUNITY FIRST SOLUTIONS
OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GENERAL ATLANTIC (AS) COLLECTIONS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DEBORAH KATSETOS
W-2 MANAGING EMPLOYEE · I · since Oct 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WARREN DAVID GANZSARTO
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · since Aug 6, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WARREN DAVID GANZSARTO
CORPORATE OFFICER · I · since Sep 9, 2002
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
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Source records
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ALTERNATE SOLUTIONS HOMECARE 3, LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | BRIDGES REHAB AT HOME | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1679765747 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 368232 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 9739261934 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Incorporation date | 2002-09-09 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | OH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 4700 DUKE DR, STE 135B | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | MASON | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | OH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 45040-9507 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
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