Why this was flagged
Owner is tied to 8 providers
An owner or managing party of this provider (JULIE KIM) is listed on 8 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Owners and managing parties of record
1585 HOME CARE TOPCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
1585 HOME CARE INTERCO, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
1585 HOME CARE HOLDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
NYIPA HEALTHCARE, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
NYIPA SPV, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
BOREAS CAPITAL, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 74.78% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
STEPHEN BERSHAD
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 31.08% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ZEPHYRUS CAPITAL, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 25.21% ownership · since Feb 25, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RAHUL CULAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 19.96% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DAVID W ALBERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 18.7% ownership · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JULIE KIM
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
VALERIE RAMIREZ
W-2 MANAGING EMPLOYEE · I · since Jan 12, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DIANA KAUFMAN
W-2 MANAGING EMPLOYEE · I · since Sep 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DAVID W ALBERT
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JEFFREY L FAN
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RAHUL CULAS
CORPORATE OFFICER · I · since Apr 11, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
XUERONG PIAO
CORPORATE OFFICER · I · since Apr 11, 2025
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.
- Owner is tied to 8 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- 1585 HOME CARE TOPCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2025-04-11
- 1585 HOME CARE INTERCO, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2025-04-11
- 1585 HOME CARE HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2025-04-11
- NYIPA HEALTHCARE, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2026-02-25
- NYIPA SPV, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2026-02-25
- BOREAS CAPITAL, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 74.78% share · since 2026-02-25
- STEPHEN BERSHAD5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.08% share · since 2026-02-25
- ZEPHYRUS CAPITAL, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 25.21% share · since 2026-02-25
CMS Home Health Agency Enrollments
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
- R & C HEALTHCARE LLCNPI 1124213707 · certification 747021 · 5410 FREDERICKSBURG RD, SAN ANTONIO, TX
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Harmonycares Home Health — 2024$440,351 paid · 55 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 | R & C HEALTHCARE LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | ALPINE CARE HOME HEALTH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1124213707 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 747021 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 8921183195 | 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 | LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Incorporation date | 2007-08-08 | 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 | 5410 FREDERICKSBURG RD, STE 301 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | SAN ANTONIO | 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 | 782293576 | 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.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
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