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Moderate
OpenScore 40

SIGNATURE HOMECARE SERVICES, TEXAS LLC

Doing business as AT HOME QUALITY CARE-HOUSTON

8300 CYPRESS CREEK PKWY, STE 350, HOUSTON, TX, 770705699

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 5 providers

An owner or managing party of this provider (ANTHONY SICILIANO) is listed on 5 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

ANTHONY SICILIANO

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Feb 5, 2026

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

ANTHONY SICILIANO

CORPORATE DIRECTOR · I · 100% ownership · since Feb 5, 2026

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

CINTHIA NIEVES

CORPORATE DIRECTOR · I · 0% ownership · since Feb 5, 2026

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

CINTHIA NIEVES

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Feb 5, 2026

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.

CMS Home Health Agency All Owners

1 flag
  • Owner is tied to 5 providers

Weekly refreshes

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

Records read from this file

CMS Home Health Agency Enrollments

background detail only

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 nameSIGNATURE HOMECARE SERVICES, TEXAS LLCCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Trading nameAT HOME QUALITY CARE-HOUSTONCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
NPI1104150531CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
Medicare certification number679628CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CMS associate ID8921139445CMS 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 address8300 CYPRESS CREEK PKWY, STE 350CMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
CityHOUSTONCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
StateTXCMS Home Health Agency EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · c6841a
ZIP770705699CMS 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.

Community notes

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