With a Little Help

Home Care in Seattle

Overview of With a Little Help

WALH creates personalized care plans after a thorough assessment. Their caregivers assist with daily living activities like bathing, dressing, and medication management. They can also provide transportation to appointments or outings, reducing isolation for seniors.

WALH understands the importance of companionship. Their caregivers offer friendly conversation and engaging activities to keep clients mentally stimulated. They also provide specialized care for conditions like dementia and Parkinson’s disease. With a Little Help (WALH) offers in-home care services to seniors and those with special needs in the Puget Sound area. Founded in 1995, WALH prioritizes keeping clients independent and comfortable in their own home care near me.

WALH you need a few hours of respite care per week or 24/7 live-in care offers a variety of options. They prioritize clear communication and ensure all caregivers undergo background checks. With WALH, you can have peace of mind knowing your loved one is receiving compassionate and qualified care at home.

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.

Walk Score
Walk Score: 80 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

License Details

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

Payment & Insurance

2 services
Doesn't Accept Medicaid
Doesn't 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
Operating HoursMonday-Friday, 9am-5pm

Dining & Nutrition

Meals IncludedNo

Types of Care at With a Little Help

Home Care Hospice Care Respite Care

Contact With a Little Help

Compare Home Care around Seattle The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

Filter by care type
Kin On
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Seattle (Rainier Valley)100No 84 - 90.0% -
With a Little Help
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Seattle (Eastlake)-No 80 ---
Alleva Home Care
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Seattle (Downtown Seattle)-No 99 --A+
Promise Home Care
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Seattle (Downtown Seattle)-No 96 ---
Reliance HomeCare
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Seattle (West Woodland)-No 95 ---

Financial Assistance for
Home Care in Washington

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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).
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%)

Low-Income Home Energy Assistance Program (LIHEAP)

Washington LIHEAP

Age 60+ prioritized
General WA resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
WA

Covers gas, electric, wood; emergency aid available.

Benefits
Heating/cooling aid ($300-$1,000/season) Crisis aid ($500 max)

Senior Community Service Employment Program (SCSEP)

Washington SCSEP

Age 55+
General unemployed, low-income, WA resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
WA

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

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. — 0.76 miles to nearest hospital (Fred Hutch Cancer Center - Sloan Clinic 1)

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