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Private Duty Home Care in St. Louis and Chicago
If something changed this week — a fall, a discharge, a parent who says she’s fine — you’re in the right place. Assistance Home Care is a family-owned, private duty home care company. Since 2011, 6,000 families in St. Louis, St. Charles and Chicago’s western suburbs have trusted us to keep a parent or spouse safe at home. Same-day Discovery Visits. No minimum hours. The same faces every visit.
Specialized Home Care for Seniors in St. Louis & Chicago
Dementia and Alzheimer’s. Parkinson’s, stroke, TBI. Help with dressing, bathing and incontinence care. Our Care Pros are our own employees, trained for this, and the same faces visit after visit. Choose hourly care, overnight care, or 24-hour home care — start with a few hours and grow as needs change. If memory is the worry, start with dementia care at home.
You don’t have to figure this out alone. Call, or book a Discovery Visit at your parent’s kitchen table — 60 to 90 minutes, no obligation, and you’ll leave with a plan whether or not it’s with us.
Why St. Louis and Chicago families call us first
Rated 4.9 on Google. Great Place to Work certified 2019–2026. Fortune Best Workplaces in Aging Services, 2025.
Assistance Home Care is a family-owned, private duty, non-medical home care company. Since 2011 our Care Pros have helped more than 6,000 families in St. Louis, St. Charles and Chicago’s western suburbs keep an aging parent or spouse safe at home. Same-day Discovery Visits, no minimum weekly hours, and a consistent Care Team.
Fifteen years and going strong. Our Care Pros are our own employees — only 2–3% of applicants make it through our 16-step hiring process — recognized by our clients and trusted by local hospital systems and rehab centers for hospital-to-home care. Two written promises come with every visit: our Professionalism Pledge and our Customer Service Pledge.
Don’t wait… let’s talk about your family today
Call and you’ll reach a person, not a phone tree. Our Care Management Team can meet with your family within hours of your first call, and care can begin the same day or within 24 hours. Switching from another agency? Tell us what went wrong and we’ll build the plan around it. New to all of this? Start with our local senior care resources.
Our Home Care Success Stories
When it comes to private duty home care, Don’t Settle!
Family Caregivers…Feeling Overwhelmed Caring For A Loved One?
Choosing a home care provider for a loved one isn’t easy. Families struggle with real concerns about their loved one’s health, safety and wellbeing in ways that our Team truly understands from our roots.
- Not sure what to do or what choice to make?
- Feeling stretched thin across your own family, career and personal needs?
- Feeling guilty for not spending enough time or doing enough?
- Are you worried that your current care provider isn’t meeting your loved one’s needs?
- Noticing inconsistent care leading to undue stress and worry?
- Committed to being a family caregiver, but know that you can’t do it 24/7?
- Considering switching home care providers?
- Unsure about what to do next?
- Worried about whether your loved one will ‘accept’ help in their home?
If you’re experiencing any of these feelings listed, know that you are not alone!
Where we serve
St. Louis County: Ladue, Clayton, Frontenac, Town and Country, Des Peres, Chesterfield, Wildwood, Kirkwood, Webster Groves, Creve Coeur, Sunset Hills, Ballwin and all of St. Louis County. West County: Ellisville and West County, 636-200-2909. St. Charles County: St. Charles, St. Peters, O’Fallon and all of St. Charles County. Chicago: the western suburbs from our Downers Grove office.
“We founded Assistance Home Care in honor of my Mom. The most important thing to her was her family and having good quality time together and that was usually done right around the kitchen table. It is our commitment to you to help bring your family back around the table. Let us do the busy work, so that you can have good quality time with your family.”
– Sally Serfas, Co-Founder & Chief Care Officer
Why Work With Us
Providing Peace of Mind With Our Service Pledge
We believe professionalism is more than a promise, it’s the daily standard we hold ourselves to, in service to you and your loved ones. We know that inviting a caregiver into your home is an act of trust, and we take that to heart. We also know we’re human. We might not get everything right the first time. Our promise it to always listen, learn and improve because your trust means everything to us.
Our Commitment To Your Family
Should you feel that our service falls short of this pledge, simply let us know within 24 hours of the visit. If your experience doesn’t reflect the level of care and support we share in this pledge to you, we want to make it right. That’s why we’re willing to waive up to 100% of the visit.
In the words of our Owner, we’ll simply ask,
“What happened, and how can we make it better for tomorrow?”
-Allen Serfas, President & Co-Founder of Assistance Home Care
Contact Us
Neighborhood Office Locations
St. Louis County
Assistance Home Care
9893 Manchester Rd
St. Louis, MO 63119
St. Charles County
Assistance Home Care
2234 Bluestone Dr
St. Charles, MO 63303
CarePlus & VA
Assistance Home Care
53 Clarkson Rd, Suite A
Ellisville, MO 63011
Join Our Team of Care Professionals!
Professional Caregiving Careers in St. Louis & Chicago
Assistance Home Care is looking for caring and skilled Home Health Aides (HHA) and Certified Nursing Assistants (CNA) to join our team in St. Louis and Chicago. We are a top provider of in-home care services and we know that great caregivers want to work with other people who care just as much as they do. Our culture is being committed to hiring individuals who align with our Core Values. Our employees are the foundation of our success, and voted Assistance Home Care as a certified Great Place to Work in 2026 and recognized nationally among Top 15 Best Workplace in Aging Services™: At-Home Care by Fortune.
We are looking for qualified and dedicated HHA and CNA candidates who are searching for more than just a job in caregiving. If you’re ready to make a meaningful difference in the lives of others, apply to join our team today. See why we have received the highest ratings in the industry on sites such as Indeed and GlassDoor.
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