Why this was flagged
Owner is tied to 24 providers
An owner or managing party of this provider (SAM D KASSAB) is listed on 24 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
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 Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a
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 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 (2)
Owners and managing parties of record
SAM D KASSAB
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 100% ownership · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GUARDIAN ANGEL HOME CARE OF NORTHERN CALIFORNIA
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GUARDIAN ANGEL HOME CARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SAM D KASSAB
CORPORATE OFFICER · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SAM D KASSAB
CORPORATE DIRECTOR · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SAM D KASSAB
W-2 MANAGING EMPLOYEE · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SAM D KASSAB
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SANDRA GAVNEY
W-2 MANAGING EMPLOYEE · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SANDRA GAVNEY
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SUSAN FREILINO
W-2 MANAGING EMPLOYEE · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SUSAN FREILINO
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GERALD KUSTRA
CORPORATE DIRECTOR · I · since Apr 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
FAYE KASSAB
CORPORATE DIRECTOR · I · since Apr 1, 2020
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.
- Many providers in separate suites of one building
- 3 providers share this street address
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
- GUARDIAN ANGEL HOME CARE OF SACRAMENTONPI 1376188359 · certification 053154 · 1451 RIVER PARK DR, SACRAMENTO, CA
- AMERICAN RIVER HOME CAREsame street address in the same file
- AMERICAN RIVER HOSPICE SERVICESsame street address in the same file
- Owner is tied to 24 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- SAM D KASSAB5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-04-01
- GUARDIAN ANGEL HOME CARE OF NORTHERN CALIFORNIA5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2020-04-01
- GUARDIAN ANGEL HOME CARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-04-01
- SAM D KASSABCORPORATE OFFICER · since 2020-04-01
- SAM D KASSABCORPORATE DIRECTOR · since 2020-04-01
- SAM D KASSABW-2 MANAGING EMPLOYEE · since 2020-04-01
- SAM D KASSABOPERATIONAL/MANAGERIAL CONTROL · since 2020-04-01
- SANDRA GAVNEYW-2 MANAGING EMPLOYEE · since 2020-04-01
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Guardian Angel Home Care, Inc — 2024$436,386 paid · 33 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 | GUARDIAN ANGEL HOME CARE OF SACRAMENTO | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1376188359 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 053154 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 5890116370 | 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 |
| Street address | 1451 RIVER PARK DR, STE 225 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | SACRAMENTO | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | CA | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 958154532 | 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.
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