Why this was flagged
8 providers share this street address
This address is the registered location of 8 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
Many providers in separate suites of one building
This building hosts providers registered across 8 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 6 providers
An owner or managing party of this provider (RICHARD CHARLES KEECH) is listed on 6 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
Other providers at this street address (7)
TOP TIER HOME HEALTH CARE, INC.
STE 220 · Incorporated Aug 22, 2019
ASPET HOME HEALTH
STE 601 · Incorporated Feb 10, 2021
STARS AND STRIPES HOME HEALTH
STE 209A · Incorporated Jul 15, 2021
TLC HOSPICE CARE INC
STE 305A · Incorporated Dec 5, 2019
ATLANTICA MANAGEMENT INC
SUITE 311A · Incorporated Nov 6, 2020
TRUST CARE HOSPICE INC
STE 218 · Incorporated Mar 28, 2019
HEARTS EASE HOSPICE INC
STE 200 · Incorporated Nov 16, 2020
Owners and managing parties of record
GAGIK R VARDANYAN
W-2 MANAGING EMPLOYEE · I · 60% ownership · since Jun 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GAGIK R VARDANYAN
CORPORATE OFFICER · I · 60% ownership · since Jun 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GAGIK R VARDANYAN
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 60% ownership · since Jun 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NONA GALSTYAN
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 40% ownership · since Jun 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NONA GALSTYAN
CORPORATE OFFICER · I · 40% ownership · since Jun 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NONA GALSTYAN
CORPORATE DIRECTOR · I · 40% ownership · since Mar 25, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RICHARD CHARLES KEECH
W-2 MANAGING EMPLOYEE · I · since Mar 25, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
GAGIK R VARDANYAN
CORPORATE DIRECTOR · I · since Mar 25, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NONA GALSTYAN
W-2 MANAGING EMPLOYEE · I · since Mar 25, 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
- 8 providers share this street address
- Many providers in separate suites of one building
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
- BLUE CROSS HOSPICENPI 1902441371 · certification A11587 · 4605 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA
- TOP TIER HOME HEALTH CARE, INC.same street address in the same file
- ASPET HOME HEALTHsame street address in the same file
- STARS AND STRIPES HOME HEALTHsame street address in the same file
- TLC HOSPICE CARE INCsame street address in the same file
CMS Hospice All Owners
- Owner is tied to 6 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- GAGIK R VARDANYANW-2 MANAGING EMPLOYEE · 60% share · since 2021-06-30
- GAGIK R VARDANYANCORPORATE OFFICER · 60% share · since 2021-06-30
- GAGIK R VARDANYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 60% share · since 2021-06-30
- NONA GALSTYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 40% share · since 2021-06-30
- NONA GALSTYANCORPORATE OFFICER · 40% share · since 2021-06-30
- NONA GALSTYANCORPORATE DIRECTOR · 40% share · since 2024-03-25
- RICHARD CHARLES KEECHW-2 MANAGING EMPLOYEE · since 2024-03-25
- GAGIK R VARDANYANCORPORATE DIRECTOR · since 2024-03-25
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Blue Cross Hospice — 2024$3,113,536 paid · 105 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 | BLUE CROSS HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1902441371 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | A11587 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 2365866555 | 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 | 2019-08-01 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | CA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 4605 LANKERSHIM BLVD, STE 305 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | NORTH HOLLYWOOD | 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 | 916021875 | 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.