Why this was flagged
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)
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Incorporated Apr 6, 1956
Owners and managing parties of record
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 10, 2003
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHANNA ZANDSTRA
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 24, 2000
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DARREN VAN ESSEN
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KENNETH ALAN HOVING
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
PAUL BUIKEMA
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
EDWARD DAMSTRA
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BARRY VANDERGENUGTEN
W-2 MANAGING EMPLOYEE · I · 0% ownership · since May 31, 2001
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID VOSS
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KAREN HUIZENGA
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TIM BREEMS
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
PATRICIA L JABAAY
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AMY MOSORIAK
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SANDHYA NAGUBADI
CONTRACTED MANAGING EMPLOYEE · I · since Feb 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVE DEGRAFF
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
THEODORE EARLE FEENSTRA
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KYLE YONKER
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GARY W LEO
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ARNOLD KOLDENHOVEN
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ERIC M WOO
CORPORATE DIRECTOR · I · since Apr 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ROB PETROELJE
CORPORATE DIRECTOR · I · since Apr 1, 2024
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
- 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
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOMENPI 1407855562 · certification 141609 · 14301 INDEPENDENCE WAY, HOMER GLEN, IL
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOMEsame street address in the same file
CMS Hospice All Owners
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2003-02-10
- JOHANNA ZANDSTRAW-2 MANAGING EMPLOYEE · 0% share · since 2000-04-24
- DARREN VAN ESSENCORPORATE DIRECTOR · 0% share · since 2022-04-01
- KENNETH ALAN HOVINGCORPORATE DIRECTOR · 0% share · since 2022-04-01
- PAUL BUIKEMACORPORATE DIRECTOR · 0% share · since 2022-04-01
- EDWARD DAMSTRACORPORATE DIRECTOR · 0% share · since 2022-04-01
- BARRY VANDERGENUGTENW-2 MANAGING EMPLOYEE · 0% share · since 2001-05-31
- DAVID VOSSCORPORATE DIRECTOR · 0% share · since 2022-04-01
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Providence Hospice — 2024$2,554,972 paid · 187 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 | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | PROVIDENCE HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1407855562 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 141609 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 1052221470 | 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 | 1956-04-06 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | IL | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 14301 INDEPENDENCE WAY | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | HOMER GLEN | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | IL | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 604917210 | 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.