There are two branches of in-home care. The first is certified home care which is typically physical, occupational or recreational therapy and requires a doctor’s orders. Certified home care or home nursing may be covered by medicare or insurance. The second branch of in-home care is called private duty. It centers on help with daily living tasks such as meal preparation, housekeeping, medication management and companionship to name a few services. Private duty is usually private pay. Sunset Home Services provides both types of home care.