Why this was flagged
Newly formed providers clustered at one address
At least two providers incorporated within the last four years share this address. Bursts of new billing entities at a single location are a hallmark of provider churning.
Source CMS Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
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
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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (2)
Owners and managing parties of record
TIFFANY GRAVES
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 67% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NICOLE GONU
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 33% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NICOLE GONU
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TIFFANY GRAVES
CORPORATE OFFICER · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TIFFANY GRAVES
CORPORATE DIRECTOR · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TIFFANY GRAVES
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JUSTO L CISNEROS
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jun 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARLOS M GRAVES
CORPORATE DIRECTOR · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CARLOS M GRAVES
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 10, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NICOLE GONU
CORPORATE DIRECTOR · I · 0% ownership · since Jan 10, 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 Enrollments
- Newly formed providers clustered at one address
- Many providers in separate suites of one building
- 3 providers share this street address
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
- AGAPE FAMILY HOSPICE INCNPI 1114632080 · certification A91636 · 9502 COMPUTER DR, SAN ANTONIO, TX
- SUNLIGHT HOSPICE COMPANYsame street address in the same file
- NOSOTROS HOSPICE, INC.same street address in the same file
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
- TIFFANY GRAVES5% OR GREATER DIRECT OWNERSHIP INTEREST · 67% share · since 2023-01-10
- NICOLE GONU5% OR GREATER DIRECT OWNERSHIP INTEREST · 33% share · since 2023-01-10
- NICOLE GONUW-2 MANAGING EMPLOYEE · 0% share · since 2023-01-10
- TIFFANY GRAVESCORPORATE OFFICER · 0% share · since 2023-01-10
- TIFFANY GRAVESCORPORATE DIRECTOR · 0% share · since 2023-01-10
- TIFFANY GRAVESW-2 MANAGING EMPLOYEE · 0% share · since 2023-01-10
- JUSTO L CISNEROSW-2 MANAGING EMPLOYEE · 0% share · since 2023-06-01
- CARLOS M GRAVESCORPORATE DIRECTOR · 0% share · since 2023-01-10
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Agape Family Hospice Inc — 2024$827,925 paid · 52 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 | AGAPE FAMILY HOSPICE INC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1114632080 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | A91636 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 2961860770 | 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 | CORPORATION | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2023-01-10 | 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 | 9502 COMPUTER DR, STE 114 | 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 | 782292383 | 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.