Why this was flagged
Owner is tied to 27 providers
An owner or managing party of this provider (SAMUEL STERN) is listed on 27 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
SYGS MANAGEMENT LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since May 23, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SYGS 2023 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 95% ownership · since May 23, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SAMUEL STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 5% ownership · since May 23, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CHARLES FRANCIS KELLER
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Aug 5, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KYLE L VALOIS
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Aug 8, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SAMUEL STERN
CORPORATE OFFICER · I · since May 23, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SAMUEL STERN
CONTRACTED MANAGING EMPLOYEE · I · since May 23, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SAMUEL STERN
CORPORATE DIRECTOR · I · since May 23, 2025
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 All Owners
- Owner is tied to 27 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- SYGS MANAGEMENT LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2025-05-23
- SYGS 2023 TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST · 95% share · since 2025-05-23
- SAMUEL STERN5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5% share · since 2025-05-23
- CHARLES FRANCIS KELLERW-2 MANAGING EMPLOYEE · 0% share · since 2025-08-05
- KYLE L VALOISW-2 MANAGING EMPLOYEE · 0% share · since 2025-08-08
- SAMUEL STERNCORPORATE OFFICER · since 2025-05-23
- SAMUEL STERNCONTRACTED MANAGING EMPLOYEE · since 2025-05-23
- SAMUEL STERNCORPORATE DIRECTOR · since 2025-05-23
CMS Hospice Enrollments
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
- AFFINITY CARE OF IOWA LLCNPI 1457249013 · certification 161621 · 4601 WESTOWN PKWY, WEST DES MOINES, IA
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 | AFFINITY CARE OF IOWA LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1457249013 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 161621 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 7416444658 | 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 | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 4601 WESTOWN PKWY, STE 100 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | WEST DES MOINES | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | IA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 502661081 | 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.
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