NPIMap

Organization Active NPI

Health at Home - Seattle Metro, LLC

Doing business as Assured Home Health

  • Home Health Agency
  • Redmond, WA
National Provider Identifier
1205403144
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH AT HOME - SEATTLE METRO, LLC
Doing business as
Assured Home Health
Practice address
11241 Willows Rd NE Ste 210
Redmond, WA 98052-1009
Phone
(206) 417-7700
Fax
(206) 417-7701
NPI assigned
Jun 9, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

11241 Willows Rd NE Ste 210
Redmond, WA 98052-1009

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
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 WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210816001044 WA Part A Provider - Home Health Agency 4789089673 Practice locations: Redmond, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205403144. Details of each certification follow.

Home health agency certification: CCN 507084

Legal name
HEALTH AT HOME - SEATTLE METRO, LLC
Doing business as
ASSURED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 1980
Last certification
Jan 7, 2010
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
11241 Willows Rd NE
Ste 210
Redmond, WA 98052-1009
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brookdale Home HealthCCN 507084 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 29, 1980
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
50D2093157Assured Home Health11241 Willows Rd NE Ste 210, Redmond, WA 98052Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

19009 33rd Ave W
Ste 330
Lynnwood, WA 98036
Phone (206) 417-7700

11241 Willows Rd NE
Ste 210
Redmond, WA 98052
Phone (206) 417-7700

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 Officer Feb 22, 2023
Health at Home Holdings-Seattle Metro, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Kimberly Seymour Individual Corporate Officer 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%
Kenisha D. Gore Individual W-2 Managing EmployeeAd; Jul 29, 2024
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%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Jessica Teran Individual W-2 Managing EmployeeAd;Don Jan 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

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the buyer Brookdale Home HealthCCN 507084, WA, NPI 1316337298

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1205403144",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 WILLOWS RD NE STE 210",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521009",
            "telephone_number": "206-417-7700",
            "fax_number": "206-417-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME - SEATTLE METRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "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 Redmond, WA

Sources for this page

Verify at the official NPI Registry.