With a Little Help
Home Care, Memory Care & Respite Care · Seattle, WA

With a Little Help

Home Care, Memory Care & Respite Care · Seattle, WA

Overview of With a Little Help

With a Little Help has been doing this since 1995, which is a long stretch for a home care agency to stay in business. Paul Sivesind owns and administers it now, running things out of an office at 2021 Minor Ave E, Suite A, in Seattle’s Eastlake neighborhood. The agency covers the wider Puget Sound region, not just the immediate area around that office.

Eastlake itself is very walkable; a Walk Score of 80 means most errands nearby don’t require a car, which matters more for the office than for clients receiving care at home. Billing here runs entirely private-pay, so families get a consistent structure to plan around rather than navigating multiple coverage types.

The actual care starts with an in-home assessment, and from there caregivers build something personalized. Bathing, dressing, medication management, meal prep, that’s the daily-living baseline. Transportation and companionship round it out, aimed at keeping someone connected rather than isolated.

Where this agency stands out is specialization: memory loss care and Parkinson’s disease care are both named specifically, not folded into generic “personal care” language, and hospice support is available for end-of-life needs too. Scheduling flexes between hourly visits and full 24-hour live-in care, and respite care exists for family members who need a real break, not just a promise of one.

With a Little Help is an agency built around specialization and continuity: three decades of operating history, a private-pay model that keeps billing simple, and care tracks specific enough to match conditions like Parkinson’s or advancing memory loss rather than treating every client the same way.

Walk Score
Walk Score: 80 / 100 Rank #79 / 626Walk Score — State benchmarkedThis home is ranked 79th out of 626 homes in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Washington facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Awards

Best in the Pacific Northwest WINNER 2025 - The Seattle Times
Employer of Choice - Best of Home Care 2023

Payment & Insurance

2 services
Does not accept Medicaid
Does not accept Medicare

Therapy & Rehabilitation

1 service
Respite Care

Amenities & Lifestyle

Specific ProgramsActivities of Daily Living, 24 Hour & Live-In, Senior Companionship, Transportation, Memory Loss Care, Parkinson’s Care, Hospice Support
Touring HoursMonday-Friday, 9am-5pm

Contact With a Little Help

Managed by Paul Sivesind

Administrator

Places of interest near With a Little Help

Address 2.9 miles from city center Info Estimated distance in miles from Seattle's city center to With a Little Help's address, calculated via Google Maps.

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Address

Financial Assistance for
Home Care in Washington

With a Little Help is located in Seattle, Washington State.
Here are the financial assistance programs available to residents in Washington State.

Get Financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled
General Washington resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WA

High demand in urban areas (e.g., Seattle).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Washington Family Caregiver Support Program

WA NFCSP

Age Caregiver of someone 60+ (or with dementia)
General Washington resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WA

High urban demand; rural outreach.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$70/day) Short-term facility care (up to 5 days)

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+)
General WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WA

Broader than COPES; serves ~20,000; self-directed option.

Benefits
Personal care (4-6 hours/day) Respite (~240 hours/year) Assistive devices Training Transportation

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+
General WA resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WA

13 AAAs; includes Meals on Wheels; rural focus.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled
General WA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WA

High veteran use; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree
General WA resident, homeowner, income-based.
Income Limits (2025) ~$45,000-$70,000/year varies by county, e.g., King: $70,000
Asset Limits Not assessed; home value cap varies ~$250,000-$400,000
WA

Saves ~$500-$1,500/year; offered statewide.

Benefits
Tax exemption (~$500-$1,500/year depending on county)

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+
General WA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WA

Vouchers (~$80/season); serves ~20,000 via AAAs.

Benefits
Vouchers (~$80/season) for produce at farmers’ markets

Frequently Asked Questions about With a Little Help

What neighborhood is With a Little Help in?

With a Little Help is in the Eastlake neighborhood.

Is With a Little Help in a walkable area?

With a Little Help has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

Are pets allowed at With a Little Help?

No, With a Little Help has a no-pet policy.

Are there photos of With a Little Help?

Yes — there is 1 photo of With a Little Help in the photo gallery on this page.

What is the address of With a Little Help?

With a Little Help is located at 2021 Minor Ave E Suite A, Seattle, WA 98102.

What is the phone number of With a Little Help?

(206) 352-7399 will put you in contact with the team at With a Little Help.

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