NPIMap

Organization Active NPI

Washington Homecare and Hospice of Central Basin, LLC

  • Community Based Hospice Care Agency
  • Moses Lake, WA
National Provider Identifier
1417199696
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WASHINGTON HOMECARE AND HOSPICE OF CENTRAL BASIN, LLC
Practice address
1350 S Pioneer Way Ste a
Moses Lake, WA 98837-2410
Phone
(509) 766-2580
Fax
(509) 765-3323
NPI assigned
Apr 2, 2009
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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1350 S Pioneer Way Ste a
Moses Lake, WA 98837-2410

Mailing address

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

Other names 1

  • Assured Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090701000391 WA Part A Provider - Hospice 3072664119 Practice locations: Moses Lake, WA

Hospice certification: CCN 501528

Legal name
WASHINGTON HOMECARE AND HOSPICE OF CENTRAL BASIN, LLC
Doing business as
ASSURED HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 14, 1993
Last certification
Dec 2, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
1417S Pioneer Way
Moses Lake, WA 98837-2458

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: Hospice

Medicare Care Compare
Listed as
Assured HospiceCCN 501528
Ownership
For-Profit
Certified
Sep 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Washington Homecare and Hospice of Central Basin LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1350 S Pioneer Way
#A
Moses Lake, WA 98837

1417 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 765-1856

Ownership & related parties

All disclosed owners & managing parties 10

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 Direct Ownership Interest May 1, 2009 100%
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Matthew Hardy Individual W-2 Managing EmployeeMedical Director Mar 1, 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 May 1, 2009 100%
Operational/Managerial Control May 1, 2009
Jennifer L Gardner Individual W-2 Managing EmployeeAdministrator/Don Feb 9, 2025
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Brenda Standley Individual W-2 Managing EmployeeAd;Don Jul 10, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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

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 2

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": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1417199696",
    "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": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S PIONEER WAY STE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372410",
            "telephone_number": "509-766-2580",
            "fax_number": "509-765-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HOMECARE AND HOSPICE OF CENTRAL BASIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.