Why this was flagged
Medicare paid far more per patient than peers
In 2022 this provider was paid $7,039 per patient, against a typical $4,945 for the same kind of provider in TN. 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 Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19
View the records behind this flag →
Owner is tied to 114 providers
An owner or managing party of this provider (HORIZON ACQUISITION CO INC.) is listed on 114 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
View the records behind this flag →
Owners and managing parties of record
HORIZON ACQUISITION CO INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 20, 2019
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
HORIZON GROUP HOLDINGS INTERMEDIATE 2, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 20, 2019
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GUARDIAN HOME CARE HOLDINGS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 2, 2007
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 20, 2019
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
HORIZON GROUP HOLDINGS, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 20, 2019
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ACCENTCARE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 22, 2010
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PLUTO ACQUISITION I INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 22, 2010
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
SEASONS ROLLOVER HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 15.4% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-B, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 15.1% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-A LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 11.2% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-B-3, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.3% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-H, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.5% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-B-1, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.4% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-I, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.1% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADVENT INTERNATIONAL GPE VIII-J LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 21, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DENA SCHWARTZ-DOTY
CORPORATE OFFICER · I · 0% ownership · since Oct 29, 2015
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
LAURA TORTORELLA
CORPORATE OFFICER · I · since Dec 14, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MARLENE HIGGS
W-2 MANAGING EMPLOYEE · I · since Jan 25, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
Corrections and disputes
Providers and researchers can dispute a detail, submit supporting links, and track the review.
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.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | GUARDIAN HOME CARE, LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | ACCENTCARE HOME HEALTH OF TENNESEE | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1124059407 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 447559 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 3678598323 | 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 | 2001-02-14 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | TN | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 6116 SHALLOWFORD RD, STE 114 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | CHATTANOOGA | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | TN | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 37421-7202 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
What changed
Public research history
Loading the research history…