Why this was flagged
Owner is tied to 12 providers
An owner or managing party of this provider (DEREK PAUL COLLETTE) is listed on 12 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
2 providers share this street address
This address is the registered location of 2 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 Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (1)
SIXRSIG LLC
STE 607 · Incorporated Mar 12, 2009
Owners and managing parties of record
MARTHA HECK
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ASPEN HEALTHCARE MIDCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN W RICHARD
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Aug 29, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LORI SIGLER
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Dec 5, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ASPEN HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TRAVIS COLLETTE
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JAIMI ANN WILLSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TREVOR COLLETTE
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
THE JEFFREY AND JAIMI WILLSON FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DEREK PAUL COLLETTE
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 20% ownership · since Dec 15, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LESLIE L COLLETTE
CORPORATE DIRECTOR · I · since Aug 29, 2011
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LESLIE L COLLETTE
W-2 MANAGING EMPLOYEE · I · since Aug 29, 2011
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LIAHONA INC
OPERATIONAL/MANAGERIAL CONTROL · O · since Aug 29, 2011
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LESLIE L COLLETTE
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · since Dec 15, 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 12 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- MARTHA HECKW-2 MANAGING EMPLOYEE · 100% share · since 2025-12-15
- ASPEN HEALTHCARE MIDCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2025-12-15
- JOHN W RICHARDCONTRACTED MANAGING EMPLOYEE · 100% share · since 2025-08-29
- LORI SIGLERW-2 MANAGING EMPLOYEE · 100% share · since 2025-12-05
- ASPEN HEALTHCARE HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2025-12-15
- TRAVIS COLLETTE5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% share · since 2025-12-15
- JAIMI ANN WILLSON5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% share · since 2025-12-15
- TREVOR COLLETTE5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% share · since 2025-12-15
CMS Hospice Enrollments
- 2 providers share this street address
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
- SIXRSIG LLCNPI 1730478603 · certification 671767 · 85 NE LOOP 410, SAN ANTONIO, TX
- SIXRSIG LLCsame street address in the same file
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Hospice Of San Antonio — 2024$20,188,688 paid · 857 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 | SIXRSIG LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | HOSPICE OF SAN ANTONIO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1730478603 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 671767 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 3476683053 | 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 | 85 NE LOOP 410, STE 605 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | SAN ANTONIO | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 782165836 | 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.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.