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Moderate
OpenScore 80

MISSOURI HOSPICE CARE LLC

Doing business as MISSOURI PALLIATIVE & HOSPICE CARE

3675 S NOLAND RD, STE 225, INDEPENDENCE, MO, 640553369

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Moderate
Owner cluster

Owner is tied to 9 providers

An owner or managing party of this provider (KAIN HOSPICE LLC) is listed on 9 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

Moderate
Shared address

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)

MISSOURI PALLIATIVE & HOSPICE CARE NORTHWEST LLC

STE 215C · Incorporated Apr 27, 2021

View lead

Owners and managing parties of record

PERA HOLDCO LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2025

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

PERA HCA HOLDCO LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2025

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

KAIN PERA LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 91.6% ownership · since Dec 31, 2025

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

KAIN HOSPICE LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 46% ownership · since Dec 31, 2025

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

ASPIRE PARTNERS LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 25.9% ownership · since Dec 31, 2025

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

KAIN PERA FEEDER LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 25.4% ownership · since Dec 31, 2025

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

PHOENIX PERA LP

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 16.5% ownership · since Dec 31, 2025

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

MORE PROVIDENT PENSION FUNDS AND PENSIONS LTD

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 12.7% ownership · since Dec 31, 2025

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

SAGE INVESTORS, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 10% ownership · since Dec 31, 2025

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

THE PHOENIX PENSION AND PROVIDENT FUND LTD.

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 8.6% ownership · since Dec 31, 2025

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

CLAL PENSION & PROVIDENT FUNDS LTD

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.1% ownership · since Dec 31, 2025

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

OBSIDIAN INVESTMENTS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6% ownership · since Dec 31, 2025

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

DENNIS NESTA

CORPORATE OFFICER · I · since Feb 11, 2026

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

RAMILO I GATAPIA

CONTRACTED MANAGING EMPLOYEE · I · since Nov 28, 2022

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

AMBER WILLIAMS

W-2 MANAGING EMPLOYEE · I · since Feb 18, 2025

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

HOSPICESERVE LLC

OPERATIONAL/MANAGERIAL CONTROL · O · since Apr 8, 2014

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

1 flag
  • Owner is tied to 9 providers

Weekly refreshes

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

Records read from this file

CMS Hospice Enrollments

1 flag
  • 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

  • MISSOURI HOSPICE CARE LLCNPI 1861909798 · certification 261678 · 3675 S NOLAND RD, INDEPENDENCE, MO
  • MISSOURI PALLIATIVE & HOSPICE CARE NORTHWEST LLCsame street address in the same file

cms_hospice_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 nameMISSOURI HOSPICE CARE LLCCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Trading nameMISSOURI PALLIATIVE & HOSPICE CARECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
NPI1861909798CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Medicare certification number261678CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CMS associate ID5597029058CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Organisation typeLLCCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Incorporation date2014-03-24CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
State of incorporationMOCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Street address3675 S NOLAND RD, STE 225CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CityINDEPENDENCECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
StateMOCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
ZIP640553369CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 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.

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