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Finding the right home care provider for a loved one with developmental disabilities is one of the most important decisions a family can make. Pierce County has over 94 DDA-contracted providers, making it difficult to know where to start.
We analyzed public state funding data to identify the most established providers serving Pierce County families. This list ranks providers by cumulative state funding received—a measure of operational scale and the state's trust in their ability to deliver services.
How We Ranked These Providers
Simplify Your Home Care Operations
CareCade helps DDA and HCBS providers manage scheduling, EVV, and billing in one platform.
Our methodology uses publicly available data:
- State Funding: Total payments from Washington State for DDA services (source: fiscal.wa.gov)
- Service Breadth: Range of services offered under DDA contracts
- Geographic Coverage: Counties served
Providers with a CareCade Verified badge have real-time performance metrics synced from their care management system.
The Top 10
1. First Choice In-Home Care
2. American Healthcare Services Inc.
3. Millennia Healthcare Inc.
4. A & B HOME CARE AND STAFFING
5. Evergreen Supported Living
6. Nessley Care, LLC
7. Professional Medical Corp.
8. Bath Plus Inc.
9. Mooney, Mackrina
10. Live Life LLC
Find More Providers
This list represents the largest providers by state funding, but the best fit depends on your family's needs:
- View all 94 Pierce County providers →
- Providers accepting new clients →
- Providers with transportation →
Frequently Asked Questions
What is DDA?
The Developmental Disabilities Administration (DDA) is Washington State's agency providing services to individuals with developmental disabilities. DDA contracts with providers to deliver services like community engagement, respite care, and life skills coaching.
What does "CareCade Verified" mean?
CareCade Verified providers use the CareCade platform to manage care delivery, enabling real-time tracking of on-time rates, visit completion, and family satisfaction. Learn more about verification →
Are smaller providers worth considering?
Yes. This list ranks by funding (scale), not quality of care. Smaller providers may offer more personalized attention. Browse all Pierce County providers →
Data sources: Washington State fiscal transparency (fiscal.wa.gov), DDA provider contracts. Rankings based on cumulative state payments.