D1-00001 Van Nuys, CA

Three home health agencies in Van Nuys, California, are grouped together in this network. All three companies were incorporated within a two day period, on January 5 and January 6 of 2022, and all three were formed in 2021 or later. One owner appears on all three of these providers, and two of them list the same phone number. All three sit at addresses shared with a revoked or excluded entity, and one of them, Ancora Home Health Inc, is in the same building as Slr Medco Group Inc, which appears on the Medicare revocation list with an action dated April 11, 2025. None of the three billed Medicaid in 2024 and no Medicare hospice or home health payments are recorded for 2023, so there is no billing history yet to review and the questions here are about ownership, address and enrollment records.

1. 01Provider network D1-00001 consists of 3 providers around Van Nuys, California, all home health agencies, with a network score of 100 of 100, ranked 1 nationally. records 1
2. 02The 3 separate companies were incorporated within one 90-day window, between 2022-01-05 and 2022-01-06. records 2
3. 03All 3 of the providers were formed in 2021 or later, and the share of companies formed in 2021 or later is 100%, in the top 1% of networks in the risky direction. records 6, 11
4. 041 owner appears on three or more of these providers, and the most connected owner sits on 3 of them. records 3
5. 052 providers list the same phone number. records 4
6. 06Ancora Home Health Inc is in the same building as Slr Medco Group Inc, which appears on the Medicare revocation list with an action dated 2025-04-11, and in all 3 providers here share an address with a revoked or excluded entity. records 5
7. 07The share of providers at an address hosting eight or more enrollments is 100%, in the top 1% of networks in the risky direction. records 10
8. 08The county has 21.2 providers of this kind per 10,000 Medicare fee-for-service beneficiaries, above the national norm, a figure in the top 5% of networks in the risky direction. records 7, 8, 12
9. 09Change in county saturation over three years is 40%, in the top 8% of networks in the risky direction. records 13
10. 10Momentum across the rate-of-change factors is steady with a robust z of 0.25, described as an indicative reading and not a validated forecast. records 14
11. 11The providers billed no Medicaid in 2024 and no Medicare hospice or home health payments are recorded for 2023. records 9
12. 12The named network members are Ancora Home Health Inc (NPI 1417618877, Van Nuys, California), Vita Home Health Inc (NPI 1457012098, Van Nuys, California), and La Vie Home Health Inc (NPI 1265193817, Van Nuys, California), each with no Medicaid billing in 2024. records 15, 16, 17

Request the full ownership and control disclosures for all three agencies under 42 CFR 455.104, including every person with an ownership or control interest of 5 percent or more, managing employees, and any family or business relationships among them, and compare the disclosures across the three enrollments and against the owner who appears on all three. Because newly enrolling home health agencies are screened at the high risk level under 42 CFR 455.450 and 42 CFR 424.518, confirm that fingerprint based criminal background checks and site visits were completed for each of the three agencies, and order pre-enrollment or post-enrollment site visits under 42 CFR 455.432 to verify that the submitted addresses and the shared phone number correspond to real operating locations. Check each address, including the building shared with Slr Medco Group Inc, against the Medicare revocation list and the termination database referenced in 42 CFR 455.416(c), and determine whether any disclosed owner or managing employee of the three agencies overlaps with the revoked entity. If any application information cannot be verified or is found to be falsified, 42 CFR 455.416(g) supports denial or termination of enrollment. Refer to the state Medicaid program integrity unit and coordinate with the Medicare administrative contractor and the Unified Program Integrity Contractor, given that the network shows no Medicaid billing in 2024 and no recorded Medicare home health or hospice payments for 2023.

• Common ownership across three agencies is lawful and is often a normal supervisory or holding company structure, and disclosed common owners must be distinguished from undisclosed ones.
• Shared addresses and shared phone numbers can reflect a shared landlord, a large multi tenant office building, a common billing or answering service, or a management company, none of which is by itself improper.
• Being located in the same building as a revoked entity does not establish any ownership, control or business relationship with that entity, and the revocation action dated 2025-04-11 may be under appeal or may have been reinstated.
• Incorporation of related entities within a short window is a common corporate formation pattern for a single business plan and can reflect ordinary counsel practice.
• The absence of Medicaid billing in 2024 and of Medicare home health or hospice payments for 2023 may reflect data lag, a claims run out period, enrollment still in process, or simply that the agencies have not begun operations.
• High county saturation and growth in saturation are market level measures that describe the area and not the conduct of these specific providers.
• The momentum reading is described in the evidence as indicative and not a validated forecast, so it should not carry weight on its own.