NPIMap

Organization Active NPI

Northwest Healthcare Alliance, Inc.

Doing business as Assured Home Health & Hospice

  • Home Health Agency
  • Centralia, WA
National Provider Identifier
1154397305
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHWEST HEALTHCARE ALLIANCE, INC.
Doing business as
Assured Home Health & Hospice
Assured Home Health, Hospice & Home Care
Practice address
1821 Cooks Hill Rd Ste 200
Centralia, WA 98531-8100
Phone
(360) 330-2640
Fax
(360) 807-0859
NPI assigned
Feb 27, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Joshua L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1821 Cooks Hill Rd Ste 200
Centralia, WA 98531-8100

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

2120 Northpark St
Suite B
Centralia, WA 98531-9098
Phone (360) 330-2640

Other names 2

  • Assured Home Health & Hospice Doing business as
  • Assured Home Health, Hospice & Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071019000258 WA Part A Provider - Home Health Agency 6406765361 Practice locations: Aberdeen, WA; Olympia, WA; Centralia, WA; Longview, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154397305. Details of each certification follow.

Home health agency certification: CCN 507042

Legal name
NORTHWEST HEALTHCARE ALLIANCE INC
Doing business as
ASSURED HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 2, 1978
Last certification
Mar 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1996 in WA
Enrollment address
1821 Cooks Hill Rd
Ste 200
Centralia, WA 98531-8100

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home Health and HospiceCCN 507042 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 2, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Washington Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2008 100%
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2008 100%
Operational/Managerial Control Dec 31, 2008
Heather L Zuchowski Individual W-2 Managing EmployeeAdministrator/Director of Nursing Nov 8, 2022
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Corporate Director Dec 31, 2019
Assured Capital Partners, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Jan 14, 2009 100%

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 147

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1154397305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 COOKS HILL RD STE 200",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318100",
            "telephone_number": "360-330-2640",
            "fax_number": "360-807-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Northpark St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319098",
            "country_code": "US",
            "telephone_number": "360-330-2640",
            "fax_number": "360-807-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST HEALTHCARE ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assured Home Health, Hospice & Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.