Serving all 21 New Jersey counties

Helping your loved ones live safely at home.

Fourth Pillar Home Health Agency provides compassionate home care, skilled nursing, occupational therapy, and DDD support services throughout New Jersey โ€” built on compassion, integrity, excellence, and trust.

Background-checked caregivers
RN-supervised care
NJ-certified CHHAs

Request a free consultation

Tell us a little about your needs and we'll reach out personally to plan the right care โ€” no cost, no obligation.

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Prefer to talk?
(856) 347-7490

Need Care for a Loved One?

Request a free, no-obligation care consultation

Referring a Patient?

Case managers, discharge planners & DDD support coordinators welcome

Want to Join Our Team?

CHHAs, nurses & DSPs โ€” join our founding care team

Our Services

One agency for the whole journey โ€” from companionship to skilled clinical care to developmental disability supports.

Personal Care & Companionship

Personal Care

Bathing, dressing, grooming, mobility assistance, and toileting support โ€” delivered with dignity by NJ-certified home health aides.

Companionship & Homemaking

Friendly conversation, meal preparation, light housekeeping, errands, and medication reminders that keep life at home running smoothly.

Respite & Live-In Care

Hourly, overnight, and live-in options that give family caregivers a well-deserved break โ€” for a day or on an ongoing schedule.

Skilled Nursing & Therapy

Skilled Nursing

Wound care, medication management, chronic disease monitoring, and post-hospital care by licensed RNs and LPNs.

Occupational Therapy

Helping patients regain independence with daily activities, adaptive techniques, and home safety โ€” right where they live.

DDD Support Services

Individual Supports

In-home support for individuals with intellectual and developmental disabilities through the NJ Division of Developmental Disabilities.

Community Inclusion

Support for community participation, life skills, and meaningful daily activities that build independence and connection.

Family Respite

Reliable, compassionate relief for families caring for a loved one with developmental disabilities.

Getting Started Is Simple

Three steps from your first call to care at home.

1

Free Consultation

Call us or send a request online. We'll listen, answer questions, and assess your loved one's needs at no cost and with no obligation.

2

Custom Care Plan

Our RN designs a personalized care plan around your needs, schedule, and budget โ€” and helps you navigate coverage options.

3

Meet Your Caregiver

We match you with a screened, background-checked caregiver chosen for skills and personality โ€” and stay involved every step after.

Our Four Pillars

The foundation of everything we do

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Compassion

Care that comes from the heart, treating every patient like family.

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Integrity

Honest, ethical care you can trust โ€” always doing what's right.

โ˜…

Excellence

The highest standard of clinical care and professional service.

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Trust

Building lasting relationships as your dependable partner in health.

Ways to Pay for Care

Quality home care is more affordable than most families expect. We help you understand every option available in New Jersey.

NJ FamilyCare / Medicaid

Personal care assistance and home-based services for eligible New Jersey Medicaid members.

MLTSS

Managed Long Term Services & Supports through NJ Medicaid managed care plans.

Personal Preference Program (PPP)

Self-directed care that lets eligible members choose and manage their own caregivers.

NJ DDD Programs

Supports Program and Community Care Program services for individuals with developmental disabilities.

Medicare

Skilled nursing and therapy at home for qualifying patients under the Medicare home health benefit.

Veterans Benefits

VA programs, including Aid & Attendance, can help veterans and surviving spouses cover home care.

Long-Term Care Insurance

We work with your LTC insurance carrier and handle the paperwork for covered home care services.

Private Pay

Flexible hourly schedules with no long-term contracts โ€” pay only for the help you need.

Not sure what your loved one qualifies for? Call (856) 347-7490 โ€” we'll walk you through your options at no charge.

Proudly Serving All of New Jersey

From the Delaware River to the Shore โ€” care across all 21 counties.

AtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarren
Founded in New Jersey, for New Jersey
Compassion ยท Integrity ยท Excellence ยท Trust

About Fourth Pillar

Fourth Pillar Home Health Agency was founded with a simple mission: to bring compassionate, high-quality health care directly to the homes of New Jersey families.

We believe healing and thriving happen best where you're most comfortable โ€” surrounded by family, in familiar surroundings, with care tailored to your unique needs. That belief extends to everyone we serve: seniors aging in place, patients recovering at home, and individuals with developmental disabilities building independent lives.

  • Caregivers screened, background-checked, and employed by us โ€” never subcontracted
  • Registered nurse supervision on every personal care case
  • Caregivers matched to your loved one by skills and personality
  • No long-term contracts โ€” adjust or cancel care anytime

Our name represents the four pillars behind everything we do: Compassion, Integrity, Excellence, and Trust. They aren't just words โ€” they're promises to every patient and family we serve.

Frequently Asked Questions

Answers to the questions New Jersey families ask most.

Call (856) 347-7490 or send a request online and we'll schedule your free in-home consultation right away. From there, our RN builds your care plan and we work to start care as quickly as your situation requires.
Three lines of care: (1) personal care and companionship from NJ-certified home health aides, (2) skilled nursing and occupational therapy at home, and (3) support services for individuals with developmental disabilities through the NJ Division of Developmental Disabilities (DDD).
Yes โ€” we serve NJ FamilyCare/Medicaid members, including MLTSS through the managed care plans, the Personal Preference Program (PPP), and DDD program participants, alongside Medicare, VA benefits, long-term care insurance, and private pay. Call us and we'll help you figure out what your loved one qualifies for.
Every caregiver completes criminal background checks as required by New Jersey law, license and certification verification, and reference checks. Home health aides are certified by the NJ Board of Nursing (CHHA) and work under registered nurse supervision.
We serve families across all 21 New Jersey counties, with our roots in South Jersey. Contact us to confirm caregiver availability in your area.
Costs vary by the type and amount of care, and many families pay little or nothing out of pocket through Medicaid programs, Medicare, VA benefits, or long-term care insurance. We offer free consultations to assess needs and walk you through every payment option โ€” with no obligation and no long-term contracts.
We'd love to connect. Call (856) 347-7490 or email info@fourthpillarhha.com and we'll walk you through our referral process and service availability.
Yes โ€” we're building our founding team of CHHAs, RNs, LPNs, and direct support professionals across New Jersey. Email your resume to info@fourthpillarhha.com with the subject "Careers."

Build Something That Matters โ€” Join Our Founding Team

Great care starts with great caregivers. We're looking for compassionate professionals who want to be part of an agency built around respect for caregivers from day one: fair pay, real support, and a voice in how we grow.

Certified Home Health Aides (CHHA) Registered Nurses LPNs Direct Support Professionals Occupational Therapists
Join Our Talent Network
๐ŸŒŸ
Founding team members shape the culture.

Be among the first hires and grow with us as we expand across New Jersey.

Ready to Talk About Care?

Call us today for a free, no-obligation consultation โ€” or leave your email and we'll reach out to you.

๐Ÿ“ž (856) 347-7490
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