Non-medical in-home support for seniors managing diabetes, rheumatoid arthritis, macular degeneration, cancer treatment, and hospice care throughout Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
Non-medical in-home support for seniors managing diabetes, rheumatoid arthritis, macular degeneration, cancer treatment, and hospice care throughout Berks, Lehigh, Lancaster & Montgomery Counties, Pennsylvania.
No Place Like Home Care provides non-medical in-home support for seniors living with chronic conditions throughout Berks, Lehigh, Lancaster, and Montgomery Counties, Pennsylvania.
We work alongside — never in place of — the medical team managing your loved one's condition. Our caregivers assist with the daily living tasks that chronic illness makes harder: dressing, meals, mobility, household support, medication reminders, and companionship.
We provide dedicated support for five chronic conditions: Diabetic Wellness Support, Rheumatoid Arthritis Gentle Assistance, Macular Degeneration & Vision Support, Cancer Treatment Comfort Care, and Hospice Companion & Family Support.
All care is nurse-led by our Founder Kelly Tyrrell, RN. Private pay and long-term care insurance accepted.
Call or text: (610) 492-6632

When a loved one is diagnosed with a chronic condition, the medical plan gets put in place quickly. The specialist. The medications. The treatment schedule. The physician visits. That part — the clinical management — is handled by professionals trained to do exactly that.
What gets harder to manage is everything else.
Getting dressed when your hands won't cooperate. Preparing a meal when you're exhausted from a treatment day. Managing a household when your vision has narrowed.
Staying safe at home alone when the person who used to do everything needs someone there — but doesn't always want to ask.
The gap between the clinical appointments is where families break down. It's where adult children stretch themselves past their limits.
And it's where No Place Like Home Care works.
We don't treat chronic conditions. Your loved one's physicians,
specialists, and clinical care teams do that. We provide the
non-medical daily support that makes it possible to stay at home while managing one — showing up for the dressing, the meals, the housekeeping, the companionship, and the consistency that chronic illness requires.
We serve families managing five specific chronic conditions. Each has its own daily challenges. Each requires a caregiver who understands what a good day looks like, and what to do when today isn't one.
Each of the five conditions we support creates a different set of daily challenges. Our caregivers are matched to clients based on the specific demands of each condition, not assigned because they were available on the schedule.
Diabetes is managed medically by your loved one's physician and endocrinologist. No Place Like Home Care supports the daily
non-medical routines that make that medical management possible.
We assist with:
Diabetic-friendly grocery shopping and low-glycemic meal preparation — building menus around the plate method and the dietary guidance the medical team has already established
Blood sugar testing reminders — verbal prompting when it's time to test, and daily logging of readings to share with family and the care team
Foot and skin observation during routine daily care —noting any changes in condition and alerting the family immediately so the physician can be contacted before minor issues become serious
Recognizing the visible signs of a blood sugar emergency —confusion, sweating, and shakiness that indicate hypoglycemia. Caregivers respond to the established care plan and contact the family and emergency services immediately when needed
What No Place Like Home Care does not do: administer insulin injections, adjust insulin pump dosages, perform wound care,
or make any clinical decisions about glucose management. Those responsibilities belong exclusively to licensed medical
professionals.
Our caregivers provide the consistency and daily attentiveness that families in Berks, Lehigh, Lancaster, and Montgomery
Counties rely on — including families in Reading and the surrounding Berks County communities where this need is particularly strong.
Rheumatoid arthritis is unlike most conditions we support — it creates its worst moments predictably. Morning stiffness lasting
an hour or more, peak joint inflammation when hands and wrists refuse to cooperate, flare days when grip strength disappears entirely.
No Place Like Home Care schedules RA caregivers specifically for those peak morning hours — arriving when stiffness is at its worst, not when a generic shift schedule says to show up.
We assist with:
Morning dressing assistance adapted to limited hand and wrist mobility — using dressing aids including long-handled shoehorns, sock aids, zipper pulls, and button hooks, alongside loose-fitting clothing organized for easy access
Meal preparation and kitchen assistance — handling the grip-strength tasks that become impossible during a flare: opening jars, operating can openers, lifting pots, managing utensils
Safe bed-to-standing transition support during peak morning stiffness, and mobility guidance throughout the day
Heating pad application for non-prescription comfort support, and gentle stretching assistance following the care plan your loved one's rheumatologist has established
Medication reminder timing — RA often requires precisely timed Disease-Modifying Antirheumatic Drugs. Caregivers provide verbal reminders and can open child-proof prescription bottles that require grip strength the condition has taken away
Heavy household tasks that RA makes dangerous or impossible: vacuuming, laundry, changing bed linens, carrying groceries.
The goal is not to treat rheumatoid arthritis — that's the rheumatologist's role. The goal is to make daily life manageable on the hardest days, so your loved one can stay home without depending entirely on family members who are already stretched thin.
Vision loss changes how a person navigates their own home. What was familiar becomes uncertain. Independence — getting dressed, reading the mail, preparing a meal, walking safely to another room — becomes something that requires help but doesn't always feel safe to ask for.
No Place Like Home Care provides non-medical in-home support for seniors with macular degeneration, legally blind seniors, and adults managing progressive vision loss throughout our service area, including families in Reading, PA and throughout Berks County where this need is especially prevalent.
We assist with:
Safe indoor and outdoor navigation — walking alongside the client, guiding movement through familiar and unfamiliar spaces, eliminating tripping hazards and keeping walkways clear
Home organization using a rigid "place for everything" system —essentials like keys, glasses, phones, and remotes never move from their assigned locations, allowing navigation by memory
High-contrast household organization — applying tactile markers and color contrast to daily items so clients can identify belongings by touch and visual difference
The clock method for meals — describing food placement on a plate by position ("meat is at 6 o'clock, vegetables at 10 o'clock") to support independent eating with dignity
Reading mail, correspondence, and labels aloud, and assisting with technology that supports hands-free independence
Safe personal care routines adapted to visual limitations —bathing, dressing, grooming with caregiver guidance that preserves independence at every step possible
Our caregivers working with visually impaired clients receive specific orientation to the client's home during the Trust Validation Phase, mapping the environment before any shift begins so the caregiver can guide confidently and the client feels safe.
Cancer treatment is physically brutal. Chemotherapy and radiation. drain energy in ways that make ordinary daily tasks feel impossible. Nausea, fatigue, appetite loss, and the emotional weight of the treatment itself leave many seniors unable to manage their household— or to be home safely alone on treatment days.
No Place Like Home Care provides non-medical in-home support both during active cancer treatment and through the post-treatment recovery period.
During treatment, we assist with:
Flexible scheduling built around chemotherapy and radiation appointments — caregivers available on treatment days when support is needed most
Small, frequent, nausea-friendly meal preparation — working around appetite changes and dietary restrictions established by the oncology and nutrition teams
Maintaining a clean, sanitized home environment during chemotherapy when the immune system is most compromised —strict hand hygiene, surface sanitation, and infection reduction routines
Hydration monitoring and encouragement, and tracking intake to share with the family and medical team
Steady companionship on treatment days and the days following —presence when your loved one is too fatigued for activity but should not be alone
After treatment, we assist with:
Post-chemotherapy fatigue management — supporting gradual rebuilding of daily routines as energy returns
Continued household assistance during the recovery period as physical strength is restored
Medication reminder continuity through the post-treatment phase when follow-up protocols require consistency
What No Place Like Home Care does not do: manage medication dosing, perform any clinical monitoring, or provide oncology-specific clinical services of any kind. All clinical cancer care remains with the oncology team. We support the daily
life around that care.
Families supporting a loved one through cancer treatment — in Reading, Berks County, Allentown, Lancaster, and throughout our service area — often reach out after realizing that the treatment schedule alone doesn't leave room for everything else. We fill that space.
There is a gap in hospice care that most families don't discover until they're living inside it.
Home hospice is a clinical service. A hospice nurse or aide visits for scheduled appointments — a few times per week, for
limited hours. The clinical team manages pain, delivers medical equipment, provides telephone support, and coordinates the
medical plan of comfort. They do this with profound skill and care.
What they do not provide is around-the-clock daily presence. Between those visits — every overnight, every morning, every
meal, every moment of vulnerability — the family is the plan.
No Place Like Home Care fills that gap. We provide non-medical companion and daily living support alongside a family's existing hospice provider — not in place of them. Our role is not clinical. It never will be. But it is present, consistent, and specifically designed to make staying at home through the end of life possible for families who want that.
We assist with:
Continuous daily companionship and presence — the hours between hospice visits when your loved one should not be alone
Light housekeeping, laundry, and household management that the clinical team doesn't cover
Meal preparation and hydration support within any dietary guidance the hospice team has established
Overnight vigil sitting — a caregiver present through the night so family members can rest, knowing someone is there
Respite for family caregivers — breaks for the people providing the daily emotional and physical care so they can sustain themselves through one of the hardest seasons of their lives
Monitoring for subtle changes in condition and immediately alerting the family so the on-call hospice nurse can be reached before a situation escalates
What No Place Like Home Care does not do: administer hospice comfort medications including liquid morphine or lorazepam,
perform clinical assessments, or provide any medical hospice services of any kind. Clinical management remains entirely with the enrolled hospice provider. We handle everything that falls outside that scope.
The Medicare Hospice Benefit covers the clinical hospice team completely. It does not cover private home care companions.
No Place Like Home Care's hospice companion services are private pay, long-term care insurance, or state Medicaid waiver funded. Bring your policy to the intake assessment and we will review options with you.
Families supporting a loved one through hospice in Berks, Lehigh, Lancaster, and Montgomery Counties — you don't have to do this alone, and you don't have to be the only one in the room.
This is the most important thing to understand about chronic disease support from a non-medical home care agency.
No Place Like Home Care works alongside every medical team managing your loved one's condition. We are not a substitute for any of them. We are the daily presence that makes the clinical management they provide actually workable.
WHAT WE PROVIDE
Personal care and hygiene assistance
Dressing and grooming support
Meal preparation adapted to condition-specific dietary needs
Medication reminders (verbal prompting only)
Household support (light housekeeping, laundry, errands)
Companionship and social engagement
Safe mobility guidance and fall prevention
Transportation to appointments
Monitoring for visible condition changes and alerting family
Overnight and extended care coverage
WHAT WE DO NOT PROVIDE
Insulin injections or any medication administration
Wound care or sterile dressing changes
Clinical nursing assessments
Hospice or palliative care services
Physical or occupational therapy
Management of hospice comfort medications
Any skilled medical service requiring a licensed professional
If your loved one requires skilled nursing, physical therapy, or clinical medical management alongside their daily living
support, those services are provided by a licensed home health agency or their enrolled hospice and palliative care team. No Place Like Home Care coordinates comfortably alongside those providers — we just don't replicate what they do.
When both are in place — clinical management and consistent non-medical daily support — families find that the combined picture is far more sustainable than either one alone.
Chronic illness often brings a loss of control. Treatments, appointments, and limitations on independence can make a person
feel like their life is being managed by everyone around them. Accepting a caregiver in the home — another person, another
change — can feel like one more thing happening to them rather
than for them.
No Place Like Home Care uses a structured Trust Validation Phase for all new chronic care clients.
Rather than arriving on Day 1 with a full care schedule and a long task list, we begin with shorter initial visits focused on building a relationship — learning routines, respecting preferences, and earning trust before expanding the scope of
support.
The same caregiver returns for every scheduled visit. For a senior with a chronic condition — where routine, consistency,
and predictability directly impact how they manage their day —rotating strangers is not just disruptive. It can be genuinely
harmful to their wellbeing.
If the personality match isn't right, our no-fault replacement policy means you tell your care coordinator and we make a change. No penalty, no awkwardness, no difficult conversation you have
to manage yourself.
The families who reach out most often are managing one of three situations:
THE DAILY STRETCH
A parent with diabetes, RA, or macular degeneration is living at home and doing reasonably well medically — but the daily tasks that chronic illness makes harder are falling to an adult child who can't be there every day. The medical management is in place. The daily living support isn't.
THE TREATMENT PERIOD
A parent is undergoing chemotherapy or radiation and the family has realized that the treatment schedule is not the same thing as a daily support plan. Someone needs to be there on treatment days. Someone needs to maintain the home,
manage meals, and be present through the fatigue and the days that follow.
THE HOSPICE GAP
A parent has enrolled in hospice, and the family — sometimes only upon receiving the first week's schedule— has discovered that "hospice at home" means clinical visits a few times per week, not continuous care. The family is filling the gap themselves and running out of capacity to sustain it.
In all three situations, No Place Like Home Care provides what the medical plan does not: a trained, consistent, non-medical
caregiver present in the home for the daily life between the clinical appointments.
We also serve:
Seniors recently diagnosed with a condition who need support building new routines around their diagnosis
Adults of any age managing a chronic condition that limits daily independence — not just seniors
Families managing multiple concurrent conditions in the same loved one — diabetes and vision loss, for example, or RA alongside early cognitive changes
Most non-medical home care agencies match caregivers based on schedule availability. No Place Like Home Care matches based on condition-specific experience and the clinical assessment of a
nurse.
Kelly Tyrrell, RN — founder and clinical director of No Place Like Home Care — brings nearly 20 years of nursing experience
to every caregiver assignment for a chronic care client. Her background spans Medical-Surgical nursing, Emergency and Trauma care, Telemetry, Acute Rehabilitation, and Home Health, including executive-level roles in care management.
What this means for chronic disease clients specifically:
Caregivers placed with RA clients are matched based on their
capacity for patient, gentle physical assistance and their understanding of how to support the morning routine when joints are at their most inflamed.
Caregivers placed with diabetic clients receive explicit orientation to the glucose monitoring log, the household food environment, and the family's protocol for a blood sugar emergency before their first shift.
Caregivers placed with visually impaired clients complete a structured home orientation — mapping the environment, learning the client's preferred organizational system, and practicing the clock method for meals — before providing any independent care.
Caregivers placed with cancer treatment clients understand chemotherapy precautions, infection control protocol, and the specific dietary needs of a client managing nausea and fatigue.
Caregivers placed in hospice companion assignments understand the clinical scope boundaries absolutely clearly — what the hospice team handles, what we handle, and what is never our role.
Kelly Tyrrell, RN reviews every chronic care placement personally. For a client whose condition makes every day genuinely hard, the person we send matters more than it does for anyone.
Long-Term Care Insurance (LTCI)
Most modern LTCI policies cover non-medical in-home care for seniors managing chronic conditions — and require it to come from a licensed agency for the benefit to apply. No Place Like Home Care accepts LTCI directly and provides the clinical documentation your carrier requires. Bring your policy to the intake assessment.
VA Aid & Attendance Benefits
For eligible wartime veterans and surviving spouses, VA Aid & Attendance pension funds apply directly to No Place Like Home Care's chronic disease support services — no VA contract required.
→ See our Hospital-to-Home Recovery page for more on VA benefits
Pennsylvania Caregiver Support Program
Through your county's Area Agency on Aging, Pennsylvania's Caregiver Support Program provides sliding-scale financial
reimbursement for home care and respite services.
Berks County: (610) 478-6500 · Lehigh County: (610) 782-3034
Lancaster County: (717) 299-7979 · Montgomery County: (610) 278-3601
Private Pay
No Place Like Home Care accepts private pay directly. Our rates begin at $34/hour — consistent with the national median for licensed in-home caregiver services.
A Note on Medicare Or Medicaid
Medicare does not cover non-medical custodial home care for chronic conditions. It covers only short-term, physician-ordered skilled home health — physical therapy, wound care nursing, and similar clinical services from a licensed home health agency. No Place Like Home Care does not accept Medicaid.
Qualifying new clients receive their first 4 hours of care complimentary after completing the intake assessment and placing
a payment method on file.
Note for Hospice Families
The Medicare Hospice Benefit covers the clinical hospice team 100%. It does not cover private home care companions. No Place Like Home Care's hospice companion services are funded separately through private pay, LTCI, or applicable state Medicaid waivers.
Qualifying new clients receive their first 4 hours of care complimentary after completing the intake assessment and placing
a payment method on file.
No Place Like Home Care bills by the hour. A 4-hour minimum applies per visit. A 16-hour minimum applies per week. No long-term contracts.
HOURLY RATES
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Weekday day shifts - $34/hour
Evening, night & weekend day shifts - $36/hour
Weekend evening/night & holiday shifts - $38/hour
LIVE-IN / 24-HOUR FLAT DAILY RATE
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Weekday - $544/day
Weekend - $576/day
Holiday - $608/day
MINIMUMS
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Per visit - 4 hours
Weekly - 16 hours
ONE-TIME FEE
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Care Coordination & Onboarding - $375
(Non-refundable. Covers nurse-led intake assessment, caregiver matching, and care plan development.)
NEW CLIENT OFFER
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First 4 hours complimentary after assessment and payment method on file.
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Payment: Private pay and LTCI accepted. VA Aid & Attendance accepted as private pay. Medicare and Medicaid not accepted.
WHAT MEDICARE COVERS VS WHAT NO PLACE LIKE HOME CARE COVERS
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Medicare (skilled, clinical) — at 100%:
Visiting nurse · Physical therapy · Wound care ·
Occupational therapy · Speech therapy
No Place Like Home Care (non-medical, daily living) — private pay:
Bathing & dressing · Meal preparation ·
Mobility support · Medication reminders ·
Housekeeping · Transportation ·
Companionship & safety monitoring
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Most post-hospital recovery requires both. The two services run on parallel tracks. No Place Like Home Care coordinates with your clinical home health schedule.
Call or text (610) 492-6632 or visit noplacelikehomepa.com. Tell us which condition your loved one is managing and what the daily challenges look like. No pressure. No commitment. No cost.
Kelly Tyrrell, RN or a member of our nurse-led team visits the home to evaluate daily needs, safety, and caregiver matching
requirements. For chronic care clients, this assessment is condition-specific — we're not just evaluating what kind of help is needed but what kind of caregiver can deliver it best.
If your loved one has an LTCI policy, bring it — we review benefit eligibility during the assessment.
We select a caregiver from our employed, fully vetted roster based on your loved one's specific condition, daily schedule,
and personality. For RA clients, we schedule around the morning.
For hospice families, we coordinate around the hospice team's visit schedule. For cancer treatment clients, we build the
schedule around chemotherapy days.
Shorter initial visits. Same caregiver every time. Relationship before full routine. We earn the trust before we expand the scope.
We can typically begin within 24 to 72 hours for families in Berks, Lehigh, Lancaster, and Montgomery Counties.
Qualifying new clients receive their first 4 hours of care complimentary.
Call or text: (610) 492-6632
Email: [email protected]
No Place Like Home Care provides non-medical chronic disease support for seniors and adults throughout Berks, Lehigh,
Lancaster, and Montgomery Counties. Our caregivers live and work in the same communities they serve.
Lehigh County - Allentown, Bethlehem, Emmaus, Macungie, Coopersburg, Schnecksville, Slatington
Lancaster County - Lancaster, Lititz, Ephrata, Manheim, Elizabethtown, Quarryville
Montgomery County - Norristown, Blue Bell, Lansdale, Horsham, Pottstown, King of Prussia, Ambler
We serve a particularly high volume of families in Reading and throughout Berks County seeking condition-specific in-home
support for diabetes, macular degeneration, and chronic illness.
If you're not sure whether your address falls within our service area, call us.
We serve a broad region and are expanding. (610) 492-6632
Your Loved One Can Stay Home.
We'll Help Make That Possible.
A chronic condition changes daily life. It doesn't have to change where your loved one lives. No Place Like Home Care provides the non-medical daily support that makes staying home sustainable — not just for your loved one, but for the family
around them.
Call or text Kelly's team at (610) 492-6632. The first conversation costs nothing and commits you to nothing.
Qualifying families receive their first 4 hours of care complimentary.
No Place Like Home Care assists with the daily living tasks that chronic illness makes harder: dressing and grooming assistance, meal preparation adapted to condition-specific dietary needs, verbal medication reminders, household support including light housekeeping and laundry, safe mobility guidance, and companionship. We work alongside the medical team managing the condition — never in place of them.
No. Insulin injections and all medication administration require a licensed nurse or home health aide with clinical training. No Place Like Home Care caregivers provide verbal reminders when it is time to test blood sugar, can assist with logging daily glucose readings, and respond to visible signs of a blood sugar emergency by contacting the family and emergency services immediately. They cannot administer, dose, or handle medications clinically.
No — and this surprises most families. A home hospice nurse or aide visits for scheduled appointments a few times per week, for limited hours. The clinical team manages pain, delivers medical equipment, and provides telephone support. The daily hours between those visits — every overnight, every morning, every meal — are not covered by the hospice provider. No Place Like Home Care fills that gap with non-medical companion and daily living support, coordinated around the hospice team's schedule.
Yes. We provide non-medical support both during chemotherapy and radiation treatment and through post-treatment recovery. During active treatment we assist with nausea-friendly meal preparation, hydration monitoring, home sanitation for immunocompromised clients, companionship on treatment days, and flexible scheduling built around the chemotherapy calendar. After treatment, we support the recovery period as energy and routine rebuild.
Palliative care is symptom management provided alongside any serious illness at any stage — a patient can still receive curative treatment. Hospice is end-of-life care for patients with a physician-certified prognosis of 6 months or less who have chosen to stop curative treatment. Comfort care broadly refers to prioritizing quality of life over aggressive intervention. No Place Like Home Care provides none of these — we provide non-medical daily living support alongside whatever clinical care team is in place, whether that is palliative, hospice, or a treating oncologist.
We schedule RA caregivers specifically for the morning hours when joint stiffness is at its peak. Caregivers assist with dressing using adaptive tools — long-handled shoehorns, sock aids, zipper pulls, and button hooks — alongside meal preparation and kitchen tasks that require grip strength, medication reminder timing for Disease-Modifying Antirheumatic Drugs, heating pad application, and heavy household tasks that flare days make impossible. We work at the pace the condition dictates, not the pace of a standard shift schedule.
Yes. We provide non-medical in-home support for legally blind and visually impaired seniors including: safe indoor and outdoor navigation, home organization using a consistent placement system the client can navigate by memory, the clock method for describing food placement on a plate, reading correspondence aloud, high-contrast household organization, and personal care routines adapted to visual limitations. Caregivers complete a structured home orientation specific to each visually impaired client before beginning independent care.
No Place Like Home Care accepts private pay and long-term care insurance directly. Most LTCI policies cover non-medical in-home care from a licensed agency — bring your policy to the intake assessment and we will review eligibility. VA Aid and Attendance benefits apply for eligible veterans and surviving spouses. Medicare does not cover non-medical custodial home care for chronic conditions. No Place Like Home Care does not accept Medicaid.
We work around the existing clinical team's schedule — not in competition with it. Our care coordinators work with families to schedule shifts that complement, not conflict with, hospice visits, chemotherapy appointments, and therapy sessions. Our caregivers understand their non-medical scope clearly: they monitor and report, they provide daily presence and living support, and they contact the family immediately when something requires clinical attention. The clinical decisions remain entirely with the clinical team.
Call or text (610) 492-6632 or visit noplacelikehomepa.com. We will discuss your loved one's specific condition and daily challenges, schedule a nurse-led in-home assessment with Kelly Tyrrell, RN, and match a condition-experienced caregiver from our employed roster. We can typically begin within 24 to 72 hours for families in Berks, Lehigh, Lancaster, and Montgomery Counties. Qualifying new clients receive their first 4 hours of care complimentary.
Compassionate Care. Right Where You Belong.
Serving families throughout Southeastern Pennsylvania:
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No Place Like Home Care is a Registered Non-Skilled Home Care Agency licensed by the Pennsylvania Department of Health under License No. HC-XXXXXX.
To report a consumer complaint or concern, contact the PA DOH Home Health Hotline: 1-800-254-5164