Boutique Concierge Home Care for Philadelphia Families
When you're arranging care for someone you love — after a hospital stay, or for the long run — the hardest part isn't the logistics. It's knowing they're truly in good hands.
1 in 6 Medicare patients return to the hospital within 30 days (AHRQ, 2020). More than 1 in 4 older adults fall each year (CDC, 2025).
Structured support. Carefully vetted caregivers. A consistent presence from day one — whether that's the first day home from surgery or the start of years of steady care.
Because care at home requires more than a checklist.
It requires someone you trust.
Start with a 15-minute assessment of your situation. We'll identify care gaps, outline what structured support looks like, and tell you if we're the right fit. If we miss your call, we return messages the same day.
A Direct Line to the Person Responsible
When you contact Accesso Care, you speak directly with the founders overseeing your care.
Accesso Care was founded by Dr. Esther Castillo, a sociologist specializing in community health, and Jimmy Zhang, who brings over 16 years of experience in elder care and leads our care coordination with a focus on speed, clarity, and reliability.
We operate differently from high-volume agencies that prioritize volume over relationships. We invest in our caregivers as W-2 professionals, so your home feels stable, supported, and predictable.
Most agencies focus on filling shifts.
We focus on building care that actually works inside your home.
The Accesso Standard:
Direct Founder Oversight. Jimmy Zhang and Dr. Esther Castillo remain directly involved in every relationship.
Selective Caseload. We keep active cases under 20 at a time to ensure attention, responsiveness, and continuity.
W-2 Workforce. Our care professionals are W-2 employees. We prioritize reliability, professionalism, and long-term alignment.
— Dr. Esther Castillo & Jimmy Zhang, Founders
Structured Support. Long-Term Stability
We provide both transitional support and ongoing private-pay home care under one consistent standard.
Hospital Discharge Support
We coordinate care prior to discharge and establish structured in-home support to reduce confusion and prevent avoidable setbacks.
Ongoing Long-Term Care
We focus on post-rehab transitions and long-term caregiver matches that create consistency and predictable routines.
Our goal is simple:
Lower turnover. Stronger connection. Stable routines.
Managed. Not Just Staffed.
We take responsibility for the outcome — not just the shift.
No Anonymous Sourcing
Personal Care Assistants are personally vetted local professionals — not pulled from mass hiring platforms.
W-2 Accountability
Professional employment supports lower turnover and clearer responsibility.
Intentional Matching
Language, communication style, and household expectations are considered alongside clinical needs.
Consistency Over Volume
We prioritize long-term stability rather than rapid shift coverage.
What Families Say
Find your peace of mind
If you are arranging care — whether following a discharge or planning for ongoing support — start with a direct conversation.