Why this was flagged
Owner is tied to 7 providers
An owner or managing party of this provider (TONYA R COWLING) is listed on 7 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Other providers at this street address (2)
COUNTY OF CLAY
CLAY COUNTY MEMORIAL HOSPITAL · Incorporated —
COUNTY OF CLAY
CLAY COUNTY MEMORIAL HOSPITAL · Incorporated —
Owners and managing parties of record
COUNTY OF CLAY
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2002
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
COUNTY OF CLAY
OTHER · O · 100% ownership · since Jan 1, 2002
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
TONYA R COWLING
W-2 MANAGING EMPLOYEE · I · since Dec 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DEBRA HAEHN
CORPORATE DIRECTOR · I · since Aug 18, 2015
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DEBRA HAEHN
W-2 MANAGING EMPLOYEE · I · since Aug 18, 2015
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
COUNTY OF CLAY
OPERATIONAL/MANAGERIAL CONTROL · O · since Jan 1, 2002
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BARBARA SCHULTZ
W-2 MANAGING EMPLOYEE · I · since Dec 1, 2023
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.
- Owner is tied to 7 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- COUNTY OF CLAY5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2002-01-01
- COUNTY OF CLAYOTHER · 100% share · since 2002-01-01
- TONYA R COWLINGW-2 MANAGING EMPLOYEE · since 2023-12-01
- DEBRA HAEHNCORPORATE DIRECTOR · since 2015-08-18
- DEBRA HAEHNW-2 MANAGING EMPLOYEE · since 2015-08-18
- COUNTY OF CLAYOPERATIONAL/MANAGERIAL CONTROL · since 2002-01-01
- BARBARA SCHULTZW-2 MANAGING EMPLOYEE · since 2023-12-01
CMS Home Health Agency Enrollments
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
- COUNTY OF CLAYNPI 1801803267 · certification 677277 · 310 W SOUTH ST, HENRIETTA, TX
- COUNTY OF CLAYsame street address in the same file
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Clay County Home Health Care — 2024$71,949 paid · 12 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 | COUNTY OF CLAY | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | CLAY COUNTY HOME HEALTH CARE | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1801803267 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 677277 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 4981689783 | 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 | GOVERNMENT | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Incorporation date | 1947-11-01 | 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 | 310 W SOUTH ST | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | HENRIETTA | 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 | 763653346 | 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.
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.