NPIMap

Organization Active NPI

Health at Home Hospice - Portland, LLC

Doing business as Assured Hospice

  • Community Based Hospice Care Agency
  • Portland, OR
National Provider Identifier
1720655665
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
HEALTH AT HOME HOSPICE - PORTLAND, LLC
Doing business as
Assured Hospice
Brookdale Hospice
Practice address
9320 SW Barbur Boulevard, Suite 330
Portland, OR 97219-5437
Phone
(503) 570-9766
Fax
(503) 685-5022
NPI assigned
Jun 9, 2021
Last updated
Jul 15, 2026By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

9320 SW Barbur Boulevard, Suite 330
Portland, OR 97219-5437

Mailing address

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

Other names 2

  • Assured Hospice Doing business as
  • Brookdale Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210802002348 OR Part A Provider - Hospice 5698179448 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720655665. Details of each certification follow.

Hospice certification: CCN 381569

Legal name
HEALTH AT HOME HOSPICE - PORTLAND, LLC
Doing business as
ASSURED HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 1, 2019
Last certification
Jul 1, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 24, 2021 in DE
Enrollment address
9320 SW Barbur Blvd
Ste 330
Portland, OR 97219-5437

Care Compare: Hospice

Medicare Care Compare
Listed as
Assured HospiceCCN 381569 · All quality measures
Ownership
For-Profit
Certified
Jul 1, 2019
Medicare certification status
ActiveFrom the Provider of Services file

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
38D2164678Health at Home Hospice-Portland LLC Dba9320 SW Barbur Boulevard, Suite 330, Portland, OR 97219Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

9320 SW Barbur Blvd
Ste 330
Portland, OR 97219
Phone (503) 570-9766

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Eva Wagoner Individual W-2 Managing EmployeeDirector of Nursing Oct 11, 2024
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Jamie Santiago Individual W-2 Managing EmployeeAd; Jan 20, 2026
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Jose de la Cruz Individual W-2 Managing EmployeeMD; Dec 22, 2021
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct 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%
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
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

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 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 HospiceCCN 381569, OR, NPI 1033687371

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1784073600000",
    "number": "1720655665",
    "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": "9320 SW BARBUR BOULEVARD, SUITE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195437",
            "telephone_number": "503-570-9766",
            "fax_number": "503-685-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME HOSPICE - PORTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.