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High
OpenScore 250

SUMMER BREEZE HEALTHCARE

Flagged provider address

4959 PALO VERDE ST, STE 106C-3, MONTCLAIR, CA, 91763-2336

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Why this was flagged

High
Shared address

12 providers share this street address

This address is the registered location of 12 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d

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Elevated
Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 12 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d

View the records behind this flag →

Owners and managing parties of record

HERMIE A DAVIS

CORPORATE OFFICER · I · 100% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HERMIE A DAVIS

CORPORATE DIRECTOR · I · 100% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HERMIE A DAVIS

W-2 MANAGING EMPLOYEE · I · 100% ownership · since Aug 3, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

NORALYN EDEJER

CORPORATE OFFICER · I · 100% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

NORALYN EDEJER

CORPORATE DIRECTOR · I · 100% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HERMIE A DAVIS

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

NORALYN EDEJER

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Jul 15, 2020

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

Source timeline

Corrections and disputes

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameSUMMER BREEZE HEALTHCARECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
NPI1649880964CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Medicare certification numberB51618CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CMS associate ID4880092378CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Organisation typeCORPORATIONCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Incorporation date2020-06-22CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
State of incorporationCACMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Street address4959 PALO VERDE ST, STE 106C-3CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CityMONTCLAIRCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
StateCACMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
ZIP91763-2336CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d

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