Elevated

OpenScore 180

ASTRA HOME HEALTH CARE INC

11565 LAUREL CANYON BLVD, STE 116, SAN FERNANDO, CA, 913404650

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Why this was flagged

Elevated

Shared address

6 providers share this street address

This address is the registered location of 6 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 Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Elevated

Suite stacking

Many providers in separate suites of one building

This building hosts providers registered across 6 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.

Source CMS Home Health Agency Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a

Other providers at this street address (5)

RINALDI HOME HEALTH CARE, INC.

STE 207 · Incorporated Aug 10, 2007

RINALDI SENIOR CARE INC

STE 200 · Incorporated May 17, 2019

AREV HOME HEALTH INC

STE 201 · Incorporated Feb 20, 2021

SALUD HOME HEALTH CARE INC

STE 104 · Incorporated Jun 10, 2021

ALLEVIATE HOSPICE CARE INC

STE 218 · Incorporated —

Owners and managing parties of record

GAYANE E MKRTCHYAN

CORPORATE OFFICER · I · 100% ownership · since Apr 6, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

GAYANE E MKRTCHYAN

W-2 MANAGING EMPLOYEE · I · 100% ownership · since Apr 6, 2021

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

GAYANE E MKRTCHYAN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 51% ownership · since Apr 7, 2024

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MERLY E ALINEA

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 49% ownership · since Apr 7, 2024

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MERLY E ALINEA

W-2 MANAGING EMPLOYEE · I · 49% ownership · since Apr 7, 2024

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MERLY E ALINEA

CORPORATE OFFICER · I · 49% ownership · since Apr 7, 2024

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

MERLY E ALINEA

CORPORATE DIRECTOR · I · 49% ownership · since Apr 7, 2024

Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296

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 Home Health Agency Enrollments

2 flags

6 providers share this street address
Many providers in separate suites of one building

Weekly refreshes

18 Sept 2026 (in use)11,494 records11,494 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026
18 Sept 20261,000 records1,000 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026(running)

Records read from this file

ASTRA HOME HEALTH CARE INCNPI 1164993895 · certification 757133 · 11565 LAUREL CANYON BLVD, SAN FERNANDO, CA
RINALDI HOME HEALTH CARE, INC.same street address in the same file
RINALDI SENIOR CARE INCsame street address in the same file
AREV HOME HEALTH INCsame street address in the same file
SALUD HOME HEALTH CARE INCsame street address in the same file

CMS Home Health Agency All Owners

background detail only

Weekly refreshes

18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026

Records read from this file

GAYANE E MKRTCHYANCORPORATE OFFICER · 100% share · since 2021-04-06
GAYANE E MKRTCHYANW-2 MANAGING EMPLOYEE · 100% share · since 2021-04-06
GAYANE E MKRTCHYAN5% OR GREATER DIRECT OWNERSHIP INTEREST · 51% share · since 2024-04-07
MERLY E ALINEA5% OR GREATER DIRECT OWNERSHIP INTEREST · 49% share · since 2024-04-07
MERLY E ALINEAW-2 MANAGING EMPLOYEE · 49% share · since 2024-04-07
MERLY E ALINEACORPORATE OFFICER · 49% share · since 2024-04-07
MERLY E ALINEACORPORATE DIRECTOR · 49% share · since 2024-04-07

cms_home_health_payments

background detail only

No completed weekly pull is recorded for this file yet.

Records read from this file

Astra Home Health Care Inc — 2024$939,320 paid · 128 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	ASTRA HOME HEALTH CARE INC	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
NPI	1164993895	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Medicare certification number	757133	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
CMS associate ID	8426458258	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Provider type	PART A PROVIDER - HOME HEALTH AGENCY	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Organisation type	CORPORATION	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
Street address	11565 LAUREL CANYON BLVD, STE 116	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
City	SAN FERNANDO	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
State	CA	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a
ZIP	913404650	CMS Home Health Agency Enrollments	Jul 27, 2026	Sep 18, 2026	2026-09-18 · c6841a

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

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This is a lead, not an accusation

Flags are statistical anomalies in public records. Many have lawful explanations. Verify before you report.

Where this came from

CMS Home Health Agency Enrollmentsdata as of Jul 27, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · c6841a
CMS Home Health Agency All Ownersdata as of Aug 19, 2026 · pulled Sep 18, 2026 · version 2026-09-18 · f10296

All sources are refreshed every Monday. Full source list

Record details

NPI: 1164993895
Medicare CCN: 757133
Provider type: PART A PROVIDER - HOME HEALTH AGENCY
Organisation type: CORPORATION
Incorporated: —
Incorporation state: —
Flagged signals: 2
Last refreshed: Sep 18, 2026

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