Why this was flagged
Many providers in separate suites of one building
This building hosts providers registered across 3 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.
Source CMS Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
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
Owner is tied to 5 providers
An owner or managing party of this provider (SIMON NELSON) is listed on 5 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
Other providers at this street address (2)
Owners and managing parties of record
PILLAR HEALTH GROUP, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 16, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DELENE C GEORGE
CORPORATE DIRECTOR · I · 0% ownership · since Feb 20, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DELENE C GEORGE
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Feb 20, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SAMER M NACHAWATI
CONTRACTED MANAGING EMPLOYEE · I · since Oct 7, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SIMON NELSON
W-2 MANAGING EMPLOYEE · I · since Jun 26, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBERT GRAHAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · since Sep 16, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
FARIDE RENARD
W-2 MANAGING EMPLOYEE · I · since Nov 11, 2019
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 Enrollments
- Many providers in separate suites of one building
- 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
- ULTIMATE PLUS HOSPICE LLCNPI 1750778197 · certification 741614 · 3218 I-30 FRONTAGE RD, MESQUITE, TX
- FIRST RAPHA HOME HEALTH INCsame street address in the same file
- J & M COMMUNICATIONS ,INCsame street address in the same file
CMS Hospice All Owners
- Owner is tied to 5 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- PILLAR HEALTH GROUP, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2019-09-16
- DELENE C GEORGECORPORATE DIRECTOR · 0% share · since 2020-02-20
- DELENE C GEORGEW-2 MANAGING EMPLOYEE · 0% share · since 2020-02-20
- SAMER M NACHAWATICONTRACTED MANAGING EMPLOYEE · since 2025-10-07
- SIMON NELSONW-2 MANAGING EMPLOYEE · since 2023-06-26
- ROBERT GRAHAM5% OR GREATER INDIRECT OWNERSHIP INTEREST · since 2019-09-16
- FARIDE RENARDW-2 MANAGING EMPLOYEE · since 2019-11-11
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Ultimate Plus Hospice Llc — 2024$8,056,883 paid · 383 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 | ULTIMATE PLUS HOSPICE LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | ULTIMATE PLUS HOSPICE LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1750778197 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 741614 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 9739480245 | 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 | 2015-04-10 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 3218 I-30 FRONTAGE RD, SUITE 111A | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | MESQUITE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 75150 | 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.