NPIMap

Organization Active NPI

Innovative Senior Care Home Health of Portland LLC

Doing business as Assured Home Health

  • Home Health Agency
  • Clackamas, OR
National Provider Identifier
1194980615
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC
Doing business as
Assured Home Health
Practice address
10121 SE Sunnyside Rd Ste 160
Clackamas, OR 97015-5710
Phone
(503) 582-9246
Fax
(503) 685-9047
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10121 SE Sunnyside Rd Ste 160
Clackamas, OR 97015-5710

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Other names 1

  • Assured Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000783 OR Part A Provider - Home Health Agency 4789751702 Practice locations: Tualatin, OR

Home health agency certification: CCN 387127

Legal name
INNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC
Doing business as
ASSURED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 19, 1996
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 20, 2008 in DE
Enrollment address
7750 SW Mohawk St
BLDG G, Suite 7750
Tualatin, OR 97062-9191

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home HealthCCN 387127 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 19, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0910720Innovative Senior Care Home Health of Portland10121 SE Sunnyside Rd, Suite 160, Clackamas, OR 97015Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10121 SE Sunnyside Rd
Ste 160
Clackamas, OR 97015

7750 SW Mohawk St
Bldg G
Tualatin, OR 97062
Phone (503) 582-9246

18765 SW Boones Ferry Rd
Ste 375
Tualatin, OR 97062
Phone (503) 612-1826

29757 SW Boones Ferry Rd
Wilsonville, OR 97070
Phone (503) 582-9246

Ownership & related parties

All disclosed owners & managing parties 11

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
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Jeff Lubecki Individual W-2 Managing EmployeeAdministrator/Director of Nursing Jul 1, 2021
Operational/Managerial ControlAdministrator/Director of Nursing Jul 1, 2021
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Health at Home Holdings-Portland, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1194980615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 160",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155710",
            "telephone_number": "503-582-9246",
            "fax_number": "503-685-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.