Aspen Home Health Private Duty LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH-117 Issued in ID

Legal business name

ASPEN HOME HEALTH PRIVATE DUTY LLC

Doing business as

IntegriCare of Eastern Idaho

Practice address

3470 Washington Pkwy
Idaho Falls, ID 83404-7579

Phone

(208) 523-9887

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Collette

Title

Member

Phone

(208) 523-9887

Specialties & licenses 1

Addresses

Other names 1

• IntegriCare of Eastern Idaho Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063568178. Details of each certification follow.

• CCN 137048 Home health agency · Active · Details

Home health agency certification: CCN 137048

Legal name

ASPEN HOME HEALTH PRIVATE DUTY LLC

Doing business as

INTEGRICARE OF EASTERN IDAHO

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 14, 1991

Last certification

May 23, 2013

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 24, 1997 in ID

Enrollment address

3470 Washington Pkwy
Idaho Falls, ID 83404-7579

Listed as

Integricare of Eastern IdahoCCN 137048 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 14, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ninergk, LLC

  dba Aspen Home Health and Hospice

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1396891412

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  dba Aspen Home Health

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1083760185

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  dba Rexburg Home Health and Hospice

  • Home Health Agency
  • Rexburg, ID
  • NPI 1710033832

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Ambrose Healthcare LLC

  • Home Health Agency
  • Layton, UT
  • NPI 1912401613

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Quivira Healthcare LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1174144174

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  dba Aspen Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1730478603

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  dba San Antonio Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1881835585

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  dba Utah Hospice

  • Community Based Hospice Care Agency
  • Orem, UT
  • NPI 1760705032

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  • Home Health Agency
  • Provo, UT
  • NPI 1811088420

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• West Coast Home Health LLC

  • Home Health Agency
  • San Juan Capistrano, CA
  • NPI 1720484207

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063568178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3881",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047579",
            "telephone_number": "208-523-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN HOME HEALTH PRIVATE DUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-523-9887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegriCare of Eastern Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.