With a Little Help

Q: What neighborhood is With a Little Help in?

With a Little Help is in the Eastlake neighborhood.

Q: 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.

Q: Are there photos of With a Little Help?

Yes — there are 3 photos of With a Little Help in the photo gallery on this page.

Q: 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.

Q: Is With a Little Help Medicare or Medicaid certified?

With a Little Help is not currently listed as a CMS-certified provider of Medicare or Medicaid.

Overview of With a Little Help

With a Little Help is a private home care and hospice agency based at 2021 Minor Ave E Suite A in Seattle’s Eastlake neighborhood, serving the Puget Sound region. Founded in 1995 and now operated by sole owner and administrator Paul Sivesind following a merger with Sequoia In-Home Care, the agency provides in-home personal care, hospice support, and respite care exclusively on a private-pay basis. Medicare and Medicaid are not accepted; the agency is not CMS-certified by the Washington Department of Health.

The agency’s stated service model centers on personalized care plans developed after in-home assessment, with emphasis on independence and comfort in place. Caregivers assist with activities of daily living (bathing, dressing, medication management, meals), transportation to appointments and social outings, and companionship aimed at reducing isolation and supporting cognitive engagement. Specialized offerings include memory loss care and Parkinson’s disease care. Respite care (temporary, short-term in-home care for family caregivers) is available alongside hourly and 24-hour live-in arrangements. Hospice support is offered for end-of-life care. Office hours are Monday through Friday, 9 a.m. to 5 p.m.; specific after-hours emergency protocols are not detailed on the agency’s public profile.

The agency states that all caregivers undergo background checks before employment and emphasizes clear communication with clients and families. The agency reports an A+ BBB rating in Seattle and received The Seattle Times Best in the Pacific Northwest award in 2025, along with an Employer of Choice award for Best of Home Care in 2023. These recognitions indicate industry visibility, though they do not constitute state licensing or regulatory certification.

The agency is located 2.9 miles from Seattle’s city center and 0.76 miles from Fred Hutch Cancer Center-Sloan Clinic 1. Walk score for the location is 80 (very walkable). Regulatory oversight, licensing history, inspection records, and formal credentialing frameworks specific to this agency are not disclosed in public materials; no government-conducted inspection data is available for verification.

Families should ask about caregiver training and qualifications for the specific care type needed (memory loss, Parkinson’s, hospice), background checks, and emergency and after-hours availability.

(206) 352-7399 Care@withalittlehelp.com

Types of Care at With a Little Help

Home Care Hospice Care Respite Care

Walk Score: 80 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

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

Does not accept Medicaid

Does not accept Medicare

Respite Care

Specific ProgramsActivities of Daily Living, 24 Hour & Live-In, Senior Companionship, Transportation, Memory Loss Care, Parkinson’s Care, Hospice Support

Operating HoursMonday-Friday, 9am-5pm

Managed by Paul Sivesind

Administrator

Paul Sivesind is the Administrator and sole owner of With a Little Help. He manages daily operations and leads the company following its merger with Sequoia In-Home Care. Paul is dedicated to providing high-quality, local services that support individuals and families to remain safe, comfortable, and independent in their homes.

2.9 miles from city center Estimated distance in miles from Seattle's city center to With a Little Help's address, calculated via Google Maps. — 0.76 miles to nearest hospital (Fred Hutch Cancer Center - Sloan Clinic 1)

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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).

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.

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).

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.

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).

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

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

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.

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

Benefits

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

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View all Nearby Homes

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 there photos of With a Little Help?

Yes — there are 3 photos of With a Little Help in the photo gallery on this page.

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.

Is With a Little Help Medicare or Medicaid certified?

With a Little Help is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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With a Little Help