Moderate

OpenScore 40

SILVERADO HOSPICE OF HOUSTON, INC.

Doing business as SILVERADO HOSPICE- NORTH HOUSTON

20445 STATE HIGHWAY 249, STE 120, HOUSTON, TX, 770702622

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Moderate

Owner cluster

Owner is tied to 8 providers

An owner or managing party of this provider (WAYNE SANNER) 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 Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

Owners and managing parties of record

SILVERADO SENIOR LIVING HOLDINGS INC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 6, 2011

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

SILVERADO SHAREHOLDERS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 90.07% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

RLH SILVERADO LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 47.12% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

RICHARD RIORDAN ADMINISTRATIVE TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 26.01% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

LOREN B SHOOK

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 17.53% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

C SHOOK TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 12.58% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

NANCY SMITH FAMILY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 9.29% ownership · since Jun 1, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

ANGELA D COLLINS

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jun 9, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

ANGELA D COLLINS

OPERATIONAL/MANAGERIAL CONTROL · I · 0% ownership · since Jun 9, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CATHERINE QUINN DAVIS

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jul 15, 2019

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CATHERINE QUINN DAVIS

OPERATIONAL/MANAGERIAL CONTROL · I · 0% ownership · since Jul 15, 2019

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

KATHRYN LEIGH BOURDOUMIS

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Feb 22, 2026

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

AMANBIR SOHAL

CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jul 15, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

WAYNE SANNER

CORPORATE OFFICER · I · 0% ownership · since Apr 29, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

WAYNE SANNER

CORPORATE DIRECTOR · I · 0% ownership · since Apr 29, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

WAYNE SANNER

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 29, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

NICHOLAS ROBINSON

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Nov 10, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JOHN C LEWIS

CORPORATE DIRECTOR · I · since Apr 16, 2007

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

LOREN B SHOOK

CORPORATE OFFICER · I · since Apr 16, 2007

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CARMIN TOMASSI

CORPORATE OFFICER · I · since Jan 15, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

CARMIN TOMASSI

W-2 MANAGING EMPLOYEE · I · since Jan 15, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

BRIAN STERN

CORPORATE DIRECTOR · I · since May 23, 2025

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

LOREN B SHOOK

W-2 MANAGING EMPLOYEE · I · since Apr 16, 2007

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

LOREN B SHOOK

CORPORATE DIRECTOR · I · since Jun 1, 2009

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 All Owners

1 flag

Owner is tied to 8 providers

Weekly refreshes

18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026

Records read from this file

SILVERADO SENIOR LIVING HOLDINGS INC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2011-01-06
SILVERADO SHAREHOLDERS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 90.07% share · since 2025-06-01
RLH SILVERADO LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 47.12% share · since 2025-06-01
RICHARD RIORDAN ADMINISTRATIVE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 26.01% share · since 2025-06-01
LOREN B SHOOK5% OR GREATER INDIRECT OWNERSHIP INTEREST · 17.53% share · since 2025-06-01
C SHOOK TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 12.58% share · since 2025-06-01
NANCY SMITH FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.29% share · since 2025-06-01
ANGELA D COLLINSW-2 MANAGING EMPLOYEE · 0% share · since 2025-06-09

CMS Hospice Enrollments

background detail only

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

SILVERADO HOSPICE OF HOUSTON, INC.NPI 1649204678 · certification 671535 · 20445 STATE HIGHWAY 249, HOUSTON, TX

cms_hospice_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

Silverado Hospice - North Houston — 2024$4,419,190 paid · 259 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	SILVERADO HOSPICE OF HOUSTON, INC.	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
Trading name	SILVERADO HOSPICE- NORTH HOUSTON	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
NPI	1649204678	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
Medicare certification number	671535	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
CMS associate ID	0840237632	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	CORPORATION	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
Street address	20445 STATE HIGHWAY 249, STE 120	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
City	HOUSTON	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	770702622	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.

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 Hospice Enrollmentsdata as of Jul 27, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · 641824
CMS Hospice All Ownersdata as of Aug 19, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · ed1513

All sources are refreshed every Monday. Full source list

Record details

NPI: 1649204678
Medicare CCN: 671535
Provider type: PART A PROVIDER - HOSPICE
Organisation type: CORPORATION
Incorporated: —
Incorporation state: —
Flagged signals: 1
Last refreshed: Sep 18, 2026

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