Elevated

OpenScore 130

CARESENSE HEALTH LLC

Doing business as CARESENSE HOME HEALTH

589 BETHLEHEM PIKE, STE 1000, MONTGOMERYVILLE, PA, 189369725

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Why this was flagged

Elevated

Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 3 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Moderate

Shared address

3 providers share this street address

This address is the registered location of 3 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 Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Other providers at this street address (2)

TAHARA HEALTH INC

STE 600 · Incorporated Mar 24, 2020

ESSENTIAL HOME CARE SERVICES

STE 400 · Incorporated —

Owners and managing parties of record

GABRIEL DALFIN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since May 25, 2011

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

STEVEN KIZELNIK 2024 FAMILY TRUST

OPERATIONAL/MANAGERIAL CONTROL · O · 49.5% ownership · since Jan 5, 2025

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

STEVEN KIZELNIK 2024 FAMILY TRUST

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 49.5% ownership · since Jan 5, 2025

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

ERICA MAKA

OPERATIONAL/MANAGERIAL CONTROL · I · since May 1, 2011

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

STACHEIN NESTER

W-2 MANAGING EMPLOYEE · I · since Jul 1, 2025

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

STACHEIN NESTER

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2025

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

GABRIEL DALFIN

OPERATIONAL/MANAGERIAL CONTROL · I · since May 25, 2011

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

ERICA MAKA

W-2 MANAGING EMPLOYEE · I · since May 11, 2011

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 Enrollments

2 flags

Many providers in separate suites of one building
3 providers share this street address

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

CARESENSE HEALTH LLCNPI 1952696353 · certification 398220 · 589 BETHLEHEM PIKE, MONTGOMERYVILLE, PA
TAHARA HEALTH INCsame street address in the same file
ESSENTIAL HOME CARE SERVICESsame street address in the same file

CMS Home Health Agency All Owners

background detail only

Weekly refreshes

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

Records read from this file

GABRIEL DALFIN5% OR GREATER DIRECT OWNERSHIP INTEREST · 50% share · since 2011-05-25
STEVEN KIZELNIK 2024 FAMILY TRUSTOPERATIONAL/MANAGERIAL CONTROL · 49.5% share · since 2025-01-05
STEVEN KIZELNIK 2024 FAMILY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST · 49.5% share · since 2025-01-05
ERICA MAKAOPERATIONAL/MANAGERIAL CONTROL · since 2011-05-01
STACHEIN NESTERW-2 MANAGING EMPLOYEE · since 2025-07-01
STACHEIN NESTEROPERATIONAL/MANAGERIAL CONTROL · since 2025-07-01
GABRIEL DALFINOPERATIONAL/MANAGERIAL CONTROL · since 2011-05-25
ERICA MAKAW-2 MANAGING EMPLOYEE · since 2011-05-11

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	CARESENSE HEALTH LLC	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Trading name	CARESENSE HOME HEALTH	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
NPI	1952696353	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Medicare certification number	398220	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
CMS associate ID	1557522612	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Provider type	PART A PROVIDER - HOME HEALTH AGENCY	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Organisation type	LLC	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Incorporation date	2011-05-25	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
State of incorporation	PA	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Street address	589 BETHLEHEM PIKE, STE 1000	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
City	MONTGOMERYVILLE	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
State	PA	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
ZIP	189369725	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · 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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This is a lead, not an accusation

Flags are statistical anomalies in public records. Many have lawful explanations. Verify before you report.

Where this came from

CMS Home Health Agency Enrollmentsdata as of Jul 27, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · c6841a
CMS Home Health Agency All Ownersdata as of Aug 19, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · f10296

All sources are refreshed every Monday. Full source list

Record details

NPI: 1952696353
Medicare CCN: 398220
Provider type: PART A PROVIDER - HOME HEALTH AGENCY
Organisation type: LLC
Incorporated: May 25, 2011
Incorporation state: PA
Flagged signals: 2
Last refreshed: Sep 18, 2026

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