Why this was flagged
Owner is tied to 11 providers
An owner or managing party of this provider (DAVID BARUCH) is listed on 11 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
VICTORIA SANTOS
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Sep 18, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CHRISTOPHER B GEHA
CORPORATE DIRECTOR · I · 100% ownership · since Aug 1, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARE ALTERNATIVES HOSPICE SERVICES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 18, 2012
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBIN SPAGNOLI
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Nov 21, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROBIN SPAGNOLI
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Nov 21, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HRP CAPITAL, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HEALTH RESOURCE PARTNER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
VICTORIA SANTOS
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Sep 18, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARE SOLUTIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 18, 2012
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NORTH AMERICAN MEDICAL MANAGEMENT -NEW JERSEY INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 71.9% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DANIEL E STRAUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 34.6% ownership · since Dec 31, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARE ONE ANCILLARY HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.09% ownership · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOSEPH D MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 7.5% ownership · since Dec 31, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MOSHAEL STRAUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6.3% ownership · since Nov 14, 2003
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
W-2 MANAGING EMPLOYEE · I · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID BARUCH
CORPORATE OFFICER · I · since Jan 1, 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 All Owners
- Owner is tied to 11 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- VICTORIA SANTOSOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2024-09-18
- CHRISTOPHER B GEHACORPORATE DIRECTOR · 100% share · since 2017-08-01
- CARE ALTERNATIVES HOSPICE SERVICES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2012-01-18
- ROBIN SPAGNOLIW-2 MANAGING EMPLOYEE · 100% share · since 2023-11-21
- ROBIN SPAGNOLIOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2023-11-21
- HRP CAPITAL, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-01-01
- HEALTH RESOURCE PARTNER LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-01-01
- VICTORIA SANTOSW-2 MANAGING EMPLOYEE · 100% share · since 2024-09-18
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
- CARE ALTERNATIVES OF MISSOURI, LLCNPI 1285696013 · certification 261600 · 783 NE ANDERSON LN, LEES SUMMIT, MO
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Ascend Hospice — 2024$14,392,975 paid · 874 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 | CARE ALTERNATIVES OF MISSOURI, LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | ASCEND HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1285696013 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 261600 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 1759292642 | 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 | 2004-01-30 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | MO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 783 NE ANDERSON LN | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | LEES SUMMIT | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | MO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 640641247 | 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.