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
2 providers share this street address
This address is the registered location of 2 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 (1)
PREMIER HEALTHCARE SERVICES, LLC
STE 100 · Incorporated Nov 7, 2005
Owners and managing parties of record
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 Sep 1, 2020
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 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JACQUELINE G AGCAOILI
CORPORATE DIRECTOR · I · 100% ownership · since Jun 14, 2013
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
HEALTH RESOURCE PARTNER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TONDA BRADSHAW
CORPORATE DIRECTOR · I · 100% ownership · since Aug 1, 2021
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 · 71.91% ownership · since Sep 1, 2020
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 · 63.47% ownership · since Sep 1, 2020
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 Sep 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GREGORY EMMANUEL
W-2 MANAGING EMPLOYEE · I · since Aug 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
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
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
CARE SOLUTIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · since Jan 1, 2022
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
- ROBIN SPAGNOLIOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2023-11-21
- HRP CAPITAL, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-09-01
- CARE ALTERNATIVES HOSPICE SERVICES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2008-01-01
- JACQUELINE G AGCAOILICORPORATE DIRECTOR · 100% share · since 2013-06-14
- ROBIN SPAGNOLIW-2 MANAGING EMPLOYEE · 100% share · since 2023-11-21
- HEALTH RESOURCE PARTNER LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2008-01-01
- TONDA BRADSHAWCORPORATE DIRECTOR · 100% share · since 2021-08-01
- NORTH AMERICAN MEDICAL MANAGEMENT -NEW JERSEY INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 71.91% share · since 2020-09-01
CMS Hospice Enrollments
- 2 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
- CARE ALTERNATIVES OF CALIFORNIA LLCNPI 1437267309 · certification 051792 · 650 E HOSPITALITY LN, SAN BERNARDINO, CA
- PREMIER HEALTHCARE SERVICES, LLCsame street address in the same 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.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | CARE ALTERNATIVES OF CALIFORNIA 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 | 1437267309 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 051792 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 8628980448 | 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 | 2003-11-23 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 650 E HOSPITALITY LN, STE 460 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | SAN BERNARDINO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | CA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 924083595 | 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.
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