Why this was flagged
An owner matches the federal exclusion list
A person or company listed as an owner or managing party of this provider matches a name on the HHS OIG list of individuals and entities excluded from federal healthcare programs. Names can coincide, so the identity must be confirmed before this means anything.
Source HHS OIG Exclusion List (LEIE) · record as of 18 Sept 2026 · pulled 18 Sept 2026 · version 2026-09-18 · e6ca62
Owner is tied to 12 providers
An owner or managing party of this provider (JUSTO L CISNEROS) is listed on 12 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
Owners and managing parties of record
NARINDER KUMAR
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since May 18, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NARINDER KUMAR
W-2 MANAGING EMPLOYEE · I · 100% ownership · since May 18, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BARBARA KAUFMAN
OPERATIONAL/MANAGERIAL CONTROL · I · 95% ownership · since Aug 12, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
EDNA RUIZ
W-2 MANAGING EMPLOYEE · I · 95% ownership · since May 18, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BARBARA KAUFMAN
W-2 MANAGING EMPLOYEE · I · 95% ownership · since Aug 12, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JUSTO L CISNEROS
CONTRACTED MANAGING EMPLOYEE · I · 50% ownership · since May 16, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NARINDER KUMAR
5% OR GREATER MORTGAGE INTEREST · I · since May 18, 2021
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
- Owner is tied to 12 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- NARINDER KUMAR5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2021-05-18
- NARINDER KUMARW-2 MANAGING EMPLOYEE · 100% share · since 2021-05-18
- BARBARA KAUFMANOPERATIONAL/MANAGERIAL CONTROL · 95% share · since 2024-08-12
- EDNA RUIZW-2 MANAGING EMPLOYEE · 95% share · since 2021-05-18
- BARBARA KAUFMANW-2 MANAGING EMPLOYEE · 95% share · since 2024-08-12
- JUSTO L CISNEROSCONTRACTED MANAGING EMPLOYEE · 50% share · since 2022-05-16
- NARINDER KUMAR5% OR GREATER MORTGAGE INTEREST · since 2021-05-18
- An owner matches the federal exclusion list
Weekly refreshes
- 21 Sept 2026 (in use)1,000 records(running)
- 18 Sept 202683,953 records
- 18 Sept 202634,978 records(running)
- 18 Sept 202639,976 records(failed)
- 18 Sept 20261,000 records(failed)
Records read from this file
- NARINDER KUMARexcluded 2010-04-20 · type 1128b4
CMS Hospice Enrollments
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
- HEXAGON ALLIANCE LLCNPI 1952870529 · certification 971538 · 1945 LOCKHILL SELMA RD, SAN ANTONIO, TX
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Aasta Hospice — 2024$1,714,804 paid · 78 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 | HEXAGON ALLIANCE LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | AASTA HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1952870529 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 971538 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 9133453202 | 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 | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2015-02-02 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 1945 LOCKHILL SELMA RD, STE 204 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | SAN ANTONIO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 782131554 | 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.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.