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
4 providers share this street address
This address is the registered location of 4 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
Many providers in separate suites of one building
This building hosts providers registered across 4 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
Other providers at this street address (3)
Owners and managing parties of record
ALTERNATE SOLUTIONS HEALTH NETWORK LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 20, 2009
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 · 100% ownership · since Sep 29, 2017
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 · 100% ownership · since Sep 29, 2017
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 · 56.5% ownership · since Sep 29, 2017
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 · 52.94% ownership · since Sep 29, 2017
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 · 40% ownership · since Sep 29, 2017
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 · 38.1% ownership · since Sep 30, 2017
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
IRREVOCABLE TRUST TESSIE GANZSARTO
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 7.06% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
THE TESSIE GANZARTO AMENDED REVOCABLE LIVING TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.73% ownership · since Sep 30, 2017
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMIE ALBERT
W-2 MANAGING EMPLOYEE · I · since Jan 3, 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 Apr 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DEBORAH KATSETOS
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · since Oct 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DEBORAH KATSETOS
W-2 MANAGING EMPLOYEE · I · since Oct 1, 2022
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.
- 4 providers share this street address
- Many providers in separate suites of one building
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
- ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, LLCNPI 1447276142 · certification 368131 · 4700 DUKE DR, MASON, OH
- ALTERNATE SOLUTIONS HOMECARE 6, LLCsame street address in the same file
- ALTERNATE SOLUTIONS HOMECARE 3, LLCsame street address in the same file
- HEARTSPRING HOME HEALTH CARE LLCsame street address in the same file
- 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
- ALTERNATE SOLUTIONS HEALTH NETWORK LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2009-11-20
- ASHN HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-09-29
- ASHN MIDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-09-29
- ALTERNATE SOLUTIONS HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 56.5% share · since 2017-09-29
- THE WARREN D. GANZSARTO AMENDED REVOCABLE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 52.94% share · since 2017-09-29
- GENERAL ATLANTIC (AS) COLLECTIONS LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 40% share · since 2017-09-29
- GENERAL ATLANTIC (AS) COLLECTIONS LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 38.1% share · since 2017-09-30
- IRREVOCABLE TRUST TESSIE GANZSARTO5% OR GREATER INDIRECT OWNERSHIP INTEREST · 7.06% share · since 2017-09-29
cms_home_health_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Alternate Solutions Home Care Of Cincinnati, Llc — 2024$2,188,563 paid · 483 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 | ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, LLC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, INC | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1447276142 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 368131 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 7113978156 | 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 |
| Incorporation date | 2004-10-29 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | OH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 4700 DUKE DR, STE 135A | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | MASON | 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 | 450409507 | 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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