The Aspen Group, Inc.
Organization Active NPI Home Health Agency · Rexburg, ID
NPI 1710033832 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1710033832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HH-170 (ID)
- Legal business name
- THE ASPEN GROUP, INC.
- Practice address
- 280 E Main St
Rexburg, ID 83440-2021 - Phone
- (208) 356-6688
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Collette
- Title
- President
- Phone
- (208) 529-0800
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 10
Affiliated clinicians 12
-
Brian Paul Beesley, M.D.
-
Andrew Logan Brower, PA-C
-
David F Daniels, D.O.
-
Matheau Eysser, D.O.
-
Scott Russell Hardy, D.O.
-
Michael M Packer, M.D.
-
Tina Scoggins, DO
-
Logan Cooper, D.O.
-
Jonathan Brent Hancock, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Rexburg Home Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Nov 16, 1995
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D0974898 | Rexburg Home Health & Hospice | Certificate of waiver | Jun 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Home health agency certification: CCN 137090
- Legal name
- THE ASPEN GROUP, INC.
- Doing business as
- REXBURG HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 16, 1995
- Last certification
- Apr 1, 2016
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 25, 1997 in ID
- Enrollment address
- 280E Main St
Rexburg, ID 83440-2021
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Jaimi Ann Willson |
5% Or Greater Indirect Ownership Interest | Dec 15, 2025 | 20% |
| Aspen Healthcare Midco Holdings LLC |
5% Or Greater Direct Ownership Interest | Dec 15, 2025 | 100% |
| Deanna Baird |
Contracted Managing Employee |
Dec 15, 2025 | 100% |
| Aspen Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 15, 2025 | 100% |
| Trevor Collette |
5% Or Greater Indirect Ownership Interest | Dec 15, 2025 | 20% |
| The Jeffrey and Jaimi Willson Family Trust |
5% Or Greater Indirect Ownership Interest | Dec 15, 2025 | 20% |
| Travis Collette |
5% Or Greater Indirect Ownership Interest |
Dec 15, 2025 | 20% |
| Corporate Director |
Dec 15, 2025 | 100% | |
| Derek Paul Collette |
5% Or Greater Indirect Ownership Interest |
Dec 15, 2025 | 20% |
| Corporate Director |
Dec 15, 2025 | 100% | |
| Jared Scott Collette |
5% Or Greater Indirect Ownership Interest | Dec 15, 2025 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100816000784 | ID | Part a Provider - Home Health Agency | 0446169346 | Practice locations: Rexburg, ID |
National Provider Directory
- Tax ID family
- Aspen Home Health
Locations
3470 Washington Pkwy
#A
Idaho Falls, ID 83404
Phone (208) 529-0800
280 E Main St
Rexburg, ID 83440
Phone (208) 356-6688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH-170 | ID | Yes |
Addresses
Primary practice location
280 E Main St
Rexburg, ID 83440-2021
Mailing address
PO Box 3881
Idaho Falls, ID 83403-3881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805166300 | Medicaid | ID |
Other names
- Rexburg Home Health and Hospice
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.