Elevated

OpenScore 180

TRAM HOSPICE CARE INC

9221 CORBIN AVE, STE 175, NORTHRIDGE, CA, 913241661

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Why this was flagged

Elevated

Shared address

6 providers share this street address

This address is the registered location of 6 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

Elevated

Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 6 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

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 (5)

EFFICIENT HOME HEALTH SERVICES, INC.

STE 180 · Incorporated Feb 2, 2004

GRANADA HILLS HOME HEALTH CARE INC

STE 245 · Incorporated —

HERA HOME HEALTH INC

STE 220 · Incorporated Nov 27, 2019

TULIP HOSPICE INC

STE 225 · Incorporated —

GO NORTH HOSPICE CARE INC

STE 205 · Incorporated —

Owners and managing parties of record

SHIRLEY ADRIANO

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 30% ownership · since Mar 20, 2023

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

SHIRLEY ADRIANO

OPERATIONAL/MANAGERIAL CONTROL · I · 30% ownership · since Mar 20, 2023

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

SHIRLEY ADRIANO

W-2 MANAGING EMPLOYEE · I · 30% ownership · since Mar 20, 2023

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

SHIRLEY ADRIANO

CORPORATE DIRECTOR · I · 30% ownership · since Mar 20, 2023

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

SHIRLEY ADRIANO

CORPORATE OFFICER · I · 30% ownership · since Mar 20, 2023

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

ARNALDO A HUKOM

CORPORATE DIRECTOR · I · 28% ownership · since Mar 20, 2023

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

ARNALDO A HUKOM

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 28% ownership · since Mar 20, 2023

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

ARNALDO A HUKOM

CORPORATE OFFICER · I · 28% ownership · since Mar 20, 2023

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

ARNALDO A HUKOM

W-2 MANAGING EMPLOYEE · I · 28% ownership · since Mar 20, 2023

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

ARNALDO A HUKOM

OPERATIONAL/MANAGERIAL CONTROL · I · 28% ownership · since Mar 20, 2023

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

ERWIN DE JESUS SIBAL

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 28% ownership · since Mar 20, 2023

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

ERWIN DE JESUS SIBAL

CORPORATE OFFICER · I · 28% ownership · since Mar 20, 2023

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

ERWIN DE JESUS SIBAL

CORPORATE DIRECTOR · I · 28% ownership · since Mar 20, 2023

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

ERWIN DE JESUS SIBAL

W-2 MANAGING EMPLOYEE · I · 28% ownership · since Mar 20, 2023

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

ERWIN DE JESUS SIBAL

OPERATIONAL/MANAGERIAL CONTROL · I · 28% ownership · since Mar 20, 2023

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

MARIA LUISA LIWANAG

CORPORATE DIRECTOR · I · 7% ownership · since Mar 20, 2023

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

MARIA LUISA LIWANAG

CORPORATE OFFICER · I · 7% ownership · since Mar 20, 2023

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

MICHELLE V CRUZ

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 7% ownership · since Mar 20, 2023

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

MICHELLE V CRUZ

CORPORATE OFFICER · I · 7% ownership · since Mar 20, 2023

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

MICHELLE V CRUZ

CORPORATE DIRECTOR · I · 7% ownership · since Mar 20, 2023

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

MICHELLE V CRUZ

W-2 MANAGING EMPLOYEE · I · 7% ownership · since Mar 20, 2023

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

MICHELLE V CRUZ

OPERATIONAL/MANAGERIAL CONTROL · I · 7% ownership · since Mar 20, 2023

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

MARIA LUISA LIWANAG

OPERATIONAL/MANAGERIAL CONTROL · I · 7% ownership · since Mar 20, 2023

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

MARIA LUISA LIWANAG

W-2 MANAGING EMPLOYEE · I · 7% ownership · since Mar 20, 2023

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

MARIA LUISA LIWANAG

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 7% ownership · since Mar 20, 2023

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

DODDANNA KRISHNA

CORPORATE DIRECTOR · I · 0% ownership · since Mar 20, 2023

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 Enrollments

2 flags

6 providers share this street address
Many providers in separate suites of one building

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

TRAM HOSPICE CARE INCNPI 1114574977 · certification B21591 · 9221 CORBIN AVE, NORTHRIDGE, CA
EFFICIENT HOME HEALTH SERVICES, INC.same street address in the same file
GRANADA HILLS HOME HEALTH CARE INCsame street address in the same file
HERA HOME HEALTH INCsame street address in the same file
TULIP HOSPICE INCsame street address in the same file

CMS Hospice All Owners

background detail only

Weekly refreshes

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

Records read from this file

SHIRLEY ADRIANO5% OR GREATER DIRECT OWNERSHIP INTEREST · 30% share · since 2023-03-20
SHIRLEY ADRIANOOPERATIONAL/MANAGERIAL CONTROL · 30% share · since 2023-03-20
SHIRLEY ADRIANOW-2 MANAGING EMPLOYEE · 30% share · since 2023-03-20
SHIRLEY ADRIANOCORPORATE DIRECTOR · 30% share · since 2023-03-20
SHIRLEY ADRIANOCORPORATE OFFICER · 30% share · since 2023-03-20
ARNALDO A HUKOMCORPORATE DIRECTOR · 28% share · since 2023-03-20
ARNALDO A HUKOM5% OR GREATER DIRECT OWNERSHIP INTEREST · 28% share · since 2023-03-20
ARNALDO A HUKOMCORPORATE OFFICER · 28% share · since 2023-03-20

cms_hospice_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

Tram Hospice Care, Inc — 2024$1,103,925 paid · 49 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	TRAM HOSPICE CARE INC	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
NPI	1114574977	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
Medicare certification number	B21591	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
CMS associate ID	2567887235	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
Incorporation date	2019-05-07	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
State of incorporation	CA	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
Street address	9221 CORBIN AVE, STE 175	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
City	NORTHRIDGE	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
State	CA	CMS Hospice Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 641824
ZIP	913241661	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: 1114574977
Medicare CCN: B21591
Provider type: PART A PROVIDER - HOSPICE
Organisation type: CORPORATION
Incorporated: May 7, 2019
Incorporation state: CA
Flagged signals: 2
Last refreshed: Sep 18, 2026

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