High

OpenScore 250

M & D HEALTHCARE SERVICES INC.

1919 SOUTH SHILOH ROAD, SUITE # 215, GARLAND, TX, 75042

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Why this was flagged

High

Shared address

7 providers share this street address

This address is the registered location of 7 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 Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Elevated

Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 7 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Other providers at this street address (6)

MERIT HOME HEALTHCARE INC.

STE 525 · Incorporated Oct 8, 2007

EMRICK SERVICES INCORPORATED

STE 540 · Incorporated —

MED-CERT HOME CARE ,LLC

STE 310 · Incorporated Nov 13, 2009

ASSURANCE HOME CARE SOLUTIONS LLC

STE 430 · Incorporated Sep 1, 2009

LE CELESTE HOMECARE INC

STE 650 · Incorporated Nov 15, 2012

MED-CERT PAS SERVICES LLC

STE 655 · Incorporated Jul 26, 2023

Owners and managing parties of record

EMMANUEL IGWE

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 90% ownership · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MONICA IGWE

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 10% ownership · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MONICA IGWE

CORPORATE DIRECTOR · I · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MONICA IGWE

W-2 MANAGING EMPLOYEE · I · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

EMMANUEL IGWE

CORPORATE OFFICER · I · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

EMMANUEL IGWE

CORPORATE DIRECTOR · I · since Jan 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

EMMANUEL IGWE

W-2 MANAGING EMPLOYEE · I · since Jan 1, 2017

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.

CMS Home Health Agency Enrollments

2 flags

7 providers share this street address
Many providers in separate suites of one building

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

M & D HEALTHCARE SERVICES INC.NPI 1609100981 · certification 747617 · 1919 SOUTH SHILOH ROAD, GARLAND, TX
MERIT HOME HEALTHCARE INC.same street address in the same file
EMRICK SERVICES INCORPORATEDsame street address in the same file
MED-CERT HOME CARE ,LLCsame street address in the same file
ASSURANCE HOME CARE SOLUTIONS LLCsame street address in the same file

CMS Home Health Agency All Owners

background detail only

Weekly refreshes

18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026

Records read from this file

EMMANUEL IGWE5% OR GREATER DIRECT OWNERSHIP INTEREST · 90% share · since 2017-01-01
MONICA IGWE5% OR GREATER DIRECT OWNERSHIP INTEREST · 10% share · since 2017-01-01
MONICA IGWECORPORATE DIRECTOR · since 2017-01-01
MONICA IGWEW-2 MANAGING EMPLOYEE · since 2017-01-01
EMMANUEL IGWECORPORATE OFFICER · since 2017-01-01
EMMANUEL IGWECORPORATE DIRECTOR · since 2017-01-01
EMMANUEL IGWEW-2 MANAGING EMPLOYEE · since 2017-01-01

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	M & D HEALTHCARE SERVICES INC.	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
NPI	1609100981	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Medicare certification number	747617	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
CMS associate ID	5294922555	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	CORPORATION	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Incorporation date	2009-08-14	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	1919 SOUTH SHILOH ROAD, SUITE # 215	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
City	GARLAND	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	75042	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.

Community notes

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This is a lead, not an accusation

Flags are statistical anomalies in public records. Many have lawful explanations. Verify before you report.

Where this came from

CMS Home Health Agency Enrollmentsdata as of Jul 27, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · c6841a
CMS Home Health Agency All Ownersdata as of Aug 19, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · f10296

All sources are refreshed every Monday. Full source list

Record details

NPI: 1609100981
Medicare CCN: 747617
Provider type: PART A PROVIDER - HOME HEALTH AGENCY
Organisation type: CORPORATION
Incorporated: Aug 14, 2009
Incorporation state: TX
Flagged signals: 2
Last refreshed: Sep 18, 2026

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