Senior Citizen's Guide to Metro Detroit 15 So what exactly is an in home service agency? To help evaluate that question it is important to know the categories of care that are available. Home care encompasses a wide range of health and social services available 24 hours a day, seven days-a-week. Home care services may be either skilled (non-medical) or skilled (medical) services such as: • Nursing • Physical, Occupational and Speech Therapy • Home Medical Equipment • Personal Care • Housekeeping • Infusion and Respiratory Therapy • Respite • Hospice • Mobile Diagnostic • Counseling Who provides home care? Certified Home Health: Provides professional and paraprofessional services which meet federal requirements, such as nursing, home health aides, social work, occupational therapy, physical therapy and speech therapy. Private Duty Home Care: Provides services which are desired and