← Lead board
Critical
OpenScore 290

SYMBOL HEALTHCARE, INC.

Doing business as PUGET SOUND HOSPICE

4002 TACOMA MALL BLVD, STE 204, TACOMA, WA, 984097702

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Critical
Owner cluster

Owner is tied to 149 providers

An owner or managing party of this provider (THE PENNANT GROUP INC) is listed on 149 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

Moderate
Shared address

3 providers share this street address

This address is the registered location of 3 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 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824

Other providers at this street address (2)

SYMBOL HEALTHCARE, INC.

STE 204 · Incorporated Nov 28, 2012

View lead

EMERALD HEALTHCARE, INC.

STE 204A · Incorporated Apr 3, 2017

View lead

Owners and managing parties of record

THE PENNANT GROUP INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 8, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CORNERSTONE HEALTHCARE INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 8, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

PARAGON HEALTHCARE, INC.

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 8, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

BRIAN W. WAYMENT

CORPORATE OFFICER · I · 0% ownership · since Nov 17, 2021

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JOHN J GOCHNOUR

CORPORATE DIRECTOR · I · 0% ownership · since Sep 26, 2024

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DEVIN ROTHWELL

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Oct 6, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

AMBER TUELLER

CORPORATE OFFICER · I · 0% ownership · since Sep 26, 2024

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

STANLEY S.L. LING

W-2 MANAGING EMPLOYEE · I · 0% ownership · since May 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

MICHAEL MAGETTE

CORPORATE OFFICER · I · 0% ownership · since Sep 26, 2024

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

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 149 providers

Weekly refreshes

  • 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026

Records read from this file

  • 3 providers share this street address

Weekly refreshes

  • 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026

Records read from this file

  • SYMBOL HEALTHCARE, INC.NPI 1578287058 · certification 501550 · 4002 TACOMA MALL BLVD, TACOMA, WA
  • SYMBOL HEALTHCARE, INC.same street address in the same file
  • EMERALD HEALTHCARE, INC.same street address in the same file

cms_hospice_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameSYMBOL HEALTHCARE, INC.CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Trading namePUGET SOUND HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
NPI1578287058CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Medicare certification number501550CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CMS associate ID9931354883CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Organisation typeCORPORATIONCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Street address4002 TACOMA MALL BLVD, STE 204CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CityTACOMACMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
StateWACMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
ZIP984097702CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824

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.

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