Elevated

OpenScore 190

ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, LLC

Doing business as ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, INC

Flagged provider address

4700 DUKE DR, STE 135A, MASON, OH, 45040-9507

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Why this was flagged

Elevated

Shared address

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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7

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Elevated

Suite stacking

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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7

View the records behind this flag →

Info

Owner cluster

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, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

View the records behind this flag →

Owners and managing parties of record

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JAMIE ALBERT

W-2 MANAGING EMPLOYEE · I · since Jan 3, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

EVERETT NEAL

CORPORATE OFFICER · I · since Apr 1, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

DEBORAH KATSETOS

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · since Oct 1, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

DEBORAH KATSETOS

W-2 MANAGING EMPLOYEE · I · since Oct 1, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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Source records

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Detail	Value	Published file	Record as of	Pulled	Version
Legal name	ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, LLC	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Trading name	ALTERNATE SOLUTIONS HOMECARE OF CINCINNATI, INC	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
NPI	1447276142	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Medicare certification number	368131	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
CMS associate ID	7113978156	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Provider type	PART A PROVIDER - HOME HEALTH AGENCY	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Organisation type	LLC	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Incorporation date	2004-10-29	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
State of incorporation	OH	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
Street address	4700 DUKE DR, STE 135A	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
City	MASON	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
State	OH	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7
ZIP	45040-9507	CMS Home Health Agency Enrollments	Oct 19, 2026	Nov 9, 2026	2026-11-09 · 80bfb7

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Community notes

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 Home Health Agency Enrollmentsdata as of Oct 19, 2026 · pulled Nov 9, 2026 · version 2026-11-09 · 80bfb7
CMS Home Health Agency All Ownersdata as of Oct 19, 2026 · pulled Nov 9, 2026 · version 2026-11-09 · 5196f4

All sources are refreshed every Monday. Full source list

Record details

NPI: 1447276142
Medicare CCN: 368131
Provider type: PART A PROVIDER - HOME HEALTH AGENCY
Organisation type: LLC
Flagged address: 4700 DUKE DR, STE 135A, MASON, OH, 45040-9507
Incorporated: Oct 29, 2004
Incorporation state: OH
Flagged signals: 3
Last refreshed: Nov 9, 2026

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