← Lead board
Elevated
OpenScore 90

CARE ALTERNATIVES INC

Doing business as ASCEND HOSPICE

65 JACKSON DR, STE 103, CRANFORD, NJ, 070163516

Claims run 10 days. Verified identity required.

Claiming opens the investigation packet: a case briefing, every flag explained, the owners and linked providers, a tracked checklist, pre-filled public record lookups and a downloadable dossier.

Why this was flagged

Elevated
Owner cluster

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

Owners and managing parties of record

APURV AGRAWAL

CORPORATE DIRECTOR · I · 100% ownership · since Nov 1, 2021

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JENNIFER DELUISE

CORPORATE DIRECTOR · I · 100% ownership · since Dec 20, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DAVID LASKIN

CORPORATE DIRECTOR · I · 100% ownership · since Apr 15, 2011

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

INDERPREET SACHAR

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

CARE SOLUTIONS, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 1, 2013

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

ALLA KATSEVA

CORPORATE DIRECTOR · I · 100% ownership · since Nov 14, 2012

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 Dec 31, 2015

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

ROBIN SPAGNOLI

OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since May 30, 2023

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JOEL S ADLER

CORPORATE DIRECTOR · I · 100% ownership · since Mar 1, 2017

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

NORTH AMERICAN MEDICAL MANAGEMENT -NEW JERSEY INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 71.9% 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

DANIEL E STRAUS

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 63.47% 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

CARE ONE ANCILLARY HOLDINGS, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.09% ownership · since Dec 31, 2013

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DAWN-MICHELE BLALOCK

W-2 MANAGING EMPLOYEE · I · since Mar 10, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

VICTORIA SANTOS

W-2 MANAGING EMPLOYEE · I · since Sep 19, 2024

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JULIE MARIE CONWAY

CORPORATE OFFICER · I · since Aug 8, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JULIE MARIE CONWAY

CORPORATE DIRECTOR · I · since Aug 8, 2022

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

JULIE MARIE CONWAY

W-2 MANAGING EMPLOYEE · I · since Aug 8, 2022

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 May 30, 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 May 30, 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 May 30, 2023

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

YEWANDE EFODILI

W-2 MANAGING EMPLOYEE · I · since Dec 15, 2015

Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513

DAWN-MICHELE BLALOCK

CORPORATE OFFICER · I · since Mar 10, 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.

  • 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

CMS Hospice Enrollments

background detail only

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

cms_hospice_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this 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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameCARE ALTERNATIVES INCCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Trading nameASCEND HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
NPI1861454886CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Medicare certification number311541CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CMS associate ID0345158127CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Organisation typeCORPORATIONCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
Street address65 JACKSON DR, STE 103CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
CityCRANFORDCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
StateNJCMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 641824
ZIP070163516CMS Hospice EnrollmentsJul 27, 2026Sep 18, 20262026-09-18 · 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.

Community notes

Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.

Sign in to add a note

No notes yet. If you have checked this provider, say what you found.