Why this was flagged
Owner is tied to 149 providers
An owner or managing party of this provider (THE PENNANT GROUP INC) is listed on 149 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
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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (1)
ALPOWA HEALTHCARE, INC.
STE 422 · Incorporated Jan 7, 2013
Owners and managing parties of record
CORNERSTONE HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 7, 2013
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
THE PENNANT GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
PARAGON HEALTHCARE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 7, 2013
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AMBER TUELLER
CORPORATE OFFICER · I · 0% ownership · since Jan 4, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRENT MILLS
CORPORATE OFFICER · I · 0% ownership · since Mar 25, 2026
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRENT GUERISOLI
CORPORATE DIRECTOR · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KYLE AMBROSE
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jul 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN J GOCHNOUR
CORPORATE OFFICER · I · 0% ownership · since Jan 15, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ELIZABETH LEFFT BLACK
CONTRACTED MANAGING EMPLOYEE · I · since Feb 13, 2024
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
- Owner is tied to 149 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- CORNERSTONE HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2013-01-07
- THE PENNANT GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2019-10-01
- PARAGON HEALTHCARE, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2013-01-07
- AMBER TUELLERCORPORATE OFFICER · 0% share · since 2025-01-04
- BRENT MILLSCORPORATE OFFICER · 0% share · since 2026-03-25
- BRENT GUERISOLICORPORATE DIRECTOR · 0% share · since 2023-01-10
- KYLE AMBROSEW-2 MANAGING EMPLOYEE · 0% share · since 2022-07-01
- JOHN J GOCHNOURCORPORATE OFFICER · 0% share · since 2024-01-15
CMS Hospice Enrollments
- 2 providers share this street address
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
- ALPOWA HEALTHCARE, INC.NPI 1134899719 · certification 131591 · 504 MAIN ST, LEWISTON, ID
- ALPOWA HEALTHCARE, INC.same street address in the same file
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 | ALPOWA HEALTHCARE, INC. | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | ELITE HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1134899719 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 131591 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 5496992125 | 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 | 504 MAIN ST, STE 422 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | LEWISTON | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | ID | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 835011869 | 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.
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.