Why this was flagged
Owner is tied to 21 providers
An owner or managing party of this provider (ALTERNATE SOLUTIONS HEALTH NETWORK LLC) is listed on 21 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
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 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 (1)
ADENA HOSPICE, LLC
Incorporated Sep 1, 2010
Owners and managing parties of record
ADENA HOME HEALTH AND HOSPICE
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ASHN MIDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ASHN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALTERNATE SOLUTIONS HEALTHCARE CHILLICOTHE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALTERNATE SOLUTIONS HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ALTERNATE SOLUTIONS HEALTH NETWORK LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
THE WARREN D. GANZSARTO AMENDED REVOCABLE LIVING TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.27% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GENERAL ATLANTIC (AS) COLLECTIONS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 22.9% ownership · since Feb 1, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MARY GRIBBLE
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Feb 16, 2026
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES MCMANUS
OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 28, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES MCMANUS
W-2 MANAGING EMPLOYEE · I · since Mar 28, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES MCMANUS
CORPORATE DIRECTOR · I · since Mar 28, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ADENA HEALTH SYSTEM
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · since Aug 1, 2011
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ADENA HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 1, 2011
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KRISTIN L BOGGS
CONTRACTED MANAGING EMPLOYEE · I · since Apr 1, 2024
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES MCMANUS
CORPORATE OFFICER · I · since Mar 28, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
EVERETT NEAL
CORPORATE OFFICER · I · since Dec 26, 2018
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 21 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- ADENA HOME HEALTH AND HOSPICE5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2026-02-01
- ASHN MIDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 60% share · since 2026-02-01
- ASHN HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 60% share · since 2026-02-01
- ALTERNATE SOLUTIONS HEALTHCARE CHILLICOTHE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 60% share · since 2026-02-01
- ALTERNATE SOLUTIONS HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 60% share · since 2026-02-01
- ALTERNATE SOLUTIONS HEALTH NETWORK LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 60% share · since 2026-02-01
- THE WARREN D. GANZSARTO AMENDED REVOCABLE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 28.27% share · since 2026-02-01
- GENERAL ATLANTIC (AS) COLLECTIONS LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 22.9% share · since 2026-02-01
- 2 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
- ADENA HOME HEALTH, LLCNPI 1700805538 · certification 367271 · 2077 WESTERN AVENUE, CHILLICOTHE, OH
- ADENA HOSPICE, LLCsame street address in the same file
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Adena Home Health — 2024$1,011,103 paid · 268 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 | ADENA HOME HEALTH, LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | ADENA HOME HEALTH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1700805538 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 367271 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 9436320116 | 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 | 2077 WESTERN AVENUE | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | CHILLICOTHE | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | OH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 456017506 | 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.
No notes yet. If you have checked this provider, say what you found.