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Elevated
OpenScore 170

FIRST RAPHA HOME HEALTH INC

Doing business as ULTIMATE PLUS HOSPICE

3218 I-30 FRONTAGE ROAD, STE 111B, MESQUITE, TX, 75150

Claims run 10 days. Verified identity required.

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Why this was flagged

Elevated
Suite stacking

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

Moderate
Shared address

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

Moderate
Owner cluster

Owner is tied to 5 providers

An owner or managing party of this provider (SIMON NELSON) is listed on 5 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

Other providers at this street address (2)

J & M COMMUNICATIONS ,INC

SUITE 113 · Incorporated Dec 12, 2005

View lead

ULTIMATE PLUS HOSPICE LLC

SUITE 111A · Incorporated Apr 10, 2015

View lead

Owners and managing parties of record

ULTIMATE PLUS HOSPICE LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 19, 2019

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

SIMON NELSON

CORPORATE OFFICER · I · 0% ownership · since Jun 26, 2023

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

SIMON NELSON

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jul 1, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

DELENE C GEORGE

CORPORATE DIRECTOR · I · 0% ownership · since Feb 20, 2020

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

DELENE C GEORGE

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Feb 20, 2020

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

DELENE C GEORGE

CORPORATE OFFICER · I · 0% ownership · since Feb 20, 2020

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

FARIDE RENARD

W-2 MANAGING EMPLOYEE · I · since Nov 11, 2019

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.

CMS Home Health Agency Enrollments

2 flags
  • 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

  • FIRST RAPHA HOME HEALTH INCNPI 1366687279 · certification 747418 · 3218 I-30 FRONTAGE ROAD, MESQUITE, TX
  • J & M COMMUNICATIONS ,INCsame street address in the same file
  • ULTIMATE PLUS HOSPICE LLCsame street address in the same file

CMS Home Health Agency All Owners

1 flag
  • Owner is tied to 5 providers

Weekly refreshes

  • 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026

Records read from this file

cms_home_health_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this 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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameFIRST RAPHA HOME HEALTH INCCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Trading nameULTIMATE PLUS HOSPICECMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
NPI1366687279CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Medicare certification number747418CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CMS associate ID5799835427CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Incorporation date2008-12-03CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
State of incorporationTXCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Street address3218 I-30 FRONTAGE ROAD, STE 111BCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CityMESQUITECMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
StateTXCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
ZIP75150CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 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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