← Lead board
High
OpenScore 160

GUARDIAN ANGEL HOME CARE OF FRESNO

1100 W SHAW AVE, STE 130, FRESNO, CA, 937113708

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

High
Owner cluster

Owner is tied to 24 providers

An owner or managing party of this provider (SAM D KASSAB) is listed on 24 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

Owners and managing parties of record

GUARDIAN ANGEL HOME CARE INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2020

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

GUARDIAN ANGEL HOME CARE OF CENTRAL CALIFORNIA

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2020

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

SAM D KASSAB

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 100% ownership · since Apr 1, 2020

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

STACEY CASELLA

OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020

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

SUSAN FREILINO

W-2 MANAGING EMPLOYEE · I · since Apr 1, 2020

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

FAYE KASSAB

CORPORATE DIRECTOR · I · since Apr 1, 2020

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

SUSAN FREILINO

OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020

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

SAM D KASSAB

CORPORATE OFFICER · I · since Apr 1, 2020

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

SAM D KASSAB

CORPORATE DIRECTOR · I · since Apr 1, 2020

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

SAM D KASSAB

OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2020

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

GERALD KUSTRA

CORPORATE DIRECTOR · I · since Apr 1, 2020

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

STACEY CASELLA

W-2 MANAGING EMPLOYEE · I · since Apr 1, 2020

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.

  • Owner is tied to 24 providers

Weekly refreshes

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

Records read from this file

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

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 nameGUARDIAN ANGEL HOME CARE OF FRESNOCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
NPI1881230514CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Medicare certification number059773CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CMS associate ID2567883713CMS 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 typeLLCCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Street address1100 W SHAW AVE, STE 130CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CityFRESNOCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
StateCACMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
ZIP937113708CMS 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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