Why this was flagged
Owner is tied to 115 providers
An owner or managing party of this provider (HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC.) is listed on 115 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
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 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (1)
ACCENTCARE HOME HEALTH OF PIERCE COUNTY, LLC
STE 219 · Incorporated —
Owners and managing parties of record
HORIZON GROUP HOLDINGS INTERMEDIATE 2, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HORIZON ACQUISITION CO INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
PLUTO ACQUISITION I INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HORIZON GROUP HOLDINGS, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ACCENTCARE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SEASONS ROLLOVER HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 15.4% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-B, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 15.1% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-A LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 11.2% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-B-3, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.3% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-H, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.5% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-B-1, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.4% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-I, L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.1% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ADVENT INTERNATIONAL GPE VIII-J LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5% ownership · since Dec 21, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ANDREW JOHNSTON
CORPORATE OFFICER · I · 0% ownership · since Jun 6, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BALAKRISHNAN NATARAJAN
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DENA SCHWARTZ-DOTY
CORPORATE OFFICER · I · 0% ownership · since Aug 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN GUESS
CORPORATE OFFICER · I · 0% ownership · since Dec 14, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HEATHER SISCEL
CORPORATE OFFICER · I · 0% ownership · since Aug 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ANNE KENT
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 20, 2026
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.
CMS Hospice All Owners
- Owner is tied to 115 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- HORIZON GROUP HOLDINGS INTERMEDIATE 2, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- HORIZON ACQUISITION CO INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- PLUTO ACQUISITION I INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- HORIZON GROUP HOLDINGS, L.P.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- ACCENTCARE, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-21
- SEASONS ROLLOVER HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 15.4% share · since 2020-12-21
- ADVENT INTERNATIONAL GPE VIII-B, L.P.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 15.1% share · since 2020-12-21
CMS Hospice Enrollments
- 2 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
- SEASONS HOSPICE & PALLIATIVE CARE OF PIERCE COUNTY WASHINGTON, LLCNPI 1821861303 · certification 501560 · 4301 S PINE ST, TACOMA, WA
- ACCENTCARE HOME HEALTH OF PIERCE COUNTY, LLCsame street address in the same 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.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | SEASONS HOSPICE & PALLIATIVE CARE OF PIERCE COUNTY WASHINGTON, LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | ACCENTCARE HOSPICE & PALLIATIVE CARE OF PIERCE COUNTY | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1821861303 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 501560 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 3971040239 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2020-12-28 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | DE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 4301 S PINE ST, STE 219 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | TACOMA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | WA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 984097205 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 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.
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.