Organization Active NPI

Spokane Home Care Services, LLC

Doing business as Assured Home Health

  • Home Health Agency
  • Spokane, WA
National Provider Identifier
1821396284
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHS.FS.60214206 Issued in WA
Legal business name
SPOKANE HOME CARE SERVICES, LLC
Doing business as
Assured Home Health
Practice address
201 W North River Dr Ste 335
Spokane, WA 99201-2262
Phone
(509) 326-2300
NPI assigned
Mar 9, 2011
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
Joshua L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH-163 ID
Home Health Agency 251E00000X IHS.FS.60214206 WA Primary

Addresses

Primary practice location

201 W North River Dr Ste 335
Spokane, WA 99201-2262

Mailing address

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

Other practice location 1

111 W North River Dr Ste 205
Spokane, WA 99201-3204
Phone (509) 326-2300

Other practice location 2

104 S Freya St
Suite 319, White Flag Bldg
Spokane, WA 99202-4862
Phone (509) 326-2300

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
O20110509000839 WA Part A Provider - Home Health Agency 4688850621 Practice locations: Spokane, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821396284. Details of each certification follow.

Home health agency certification: CCN 507089

Legal name
SPOKANE HOME CARE SERVICES, LLC
Doing business as
ASSURED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 7, 1988
Last certification
Aug 23, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
201 W North River Dr
Ste 335
Spokane, WA 99201-2262

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home HealthCCN 507089 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 7, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
50D1099599Assured Home Health201 W North River Dr Ste 335, Spokane, WA 99201Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

104 S Freya St
Ste 319
Spokane, WA 99202
Phone (509) 326-2300

111 W North River Dr
Ste 205
Spokane, WA 99201
Phone (509) 326-2300

201 W North River Dr
Ste 335
Spokane, WA 99201
Phone (509) 326-2300

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
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
Afam Holding Co LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Operational/Managerial Control Mar 1, 2019
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Leslie Hathaway Individual W-2 Managing EmployeeAdministrator / Director of Nurses May 5, 2023
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2019 20%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1821396284",
    "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": "201 W NORTH RIVER DR STE 335",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012262",
            "telephone_number": "509-326-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W North River Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992013204",
            "country_code": "US",
            "telephone_number": "509-326-2300",
            "fax_number": "509-328-2942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Freya St",
            "address_2": "Suite 319, White Flag Bldg",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024862",
            "country_code": "US",
            "telephone_number": "509-326-2300",
            "fax_number": "509-326-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPOKANE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-163",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.60214206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.