Our Services
What Sets Signature Care Apart
At Signature Care, we redefine the healthcare experience by bringing expert, compassionate medicine directly to you.
- Private Pay Service with clear, concierge-level support
- Direct access to an NP and MD during your appointment (collaborative model)
- Serving all adults across Metro Detroit (not just Seniors)
- In-home, discreet, high-touch care with priority scheduling
- Nursing Specialty Clinical Services (In-Home)
- Wound care: comprehensive assessment, dressing selection/changes, infection monitoring
- Post-operative & incision care: drain care, staple/suture removal, incision surveillance, education
- Tracheostomy care: routine care, suctioning, inner cannula changes, skin/site maintenance, education
- PEG/G-tube/J-tube care: site assessment, dressing changes, troubleshooting, feeding/flush protocols
- Foley catheter care: placement, changes, maintenance, infection monitoring
- Urostomy/colostomy/ileostomy care: appliance fitting, skin protection, supply guidance, complication checks
- IV antibiotic administration: in-home infusion setup, education, line care, adverse-effect surveillance
- PICC/central line care: dressing changes, flushing, cap changes, patency checks, infection monitoring
- TPN administration support: line care, infusion oversight, education, escalation protocols
- Diabetes & chronic condition support: Blood sugar and BP monitoring, medication reconciliation and education, self-management coaching
- Lab services: in-home phlebotomy and specimen collection
- Supply & equipment orders: dressings, ostomy, trach/PICC supplies, and select DME as appropriate
Urgent Care Services
For immediate but non-life-threatening health concerns, our urgent care services offer a convenient and comfortable alternative to crowded clinics. Delivered in your home or our clinic, our nurse practitionersโwith direct physician supportโprovide prompt evaluation and treatment for a wide range of common illnesses and minor injuries.
Please note, this service may accept insurance, providing a more accessible option for your urgent healthcare needs.
Emergencies excluded (no chest pain, stroke symptoms, severe SOB, heavy bleeding, loss of consciousness).
- UTI evaluation & treatment
- IV fluid hydration for mild dehydration
- Mild cellulitis evaluation & antibiotic management
- Upper respiratory infections (mild/moderate), acute bronchitis, mild community pneumonia management when appropriate
- Gastroenteritis (nausea, vomiting, diarrhea) symptomatic treatment and rehydration plans
- Suturing/closure for small, mild lacerations; wound adhesive/strips when appropriate
- Phlebotomy & lab processing for urgent testing (e.g., CBC, BMP per orders)
- Ear irrigation for cerumen impaction
- Rapid tests (as indicated): flu, strep, COVID (for triage/management decisions)
- Simple skin conditions: contact dermatitis, localized rashes, hives (non-anaphylactic)
- Conjunctivitis (non-severe) evaluation & treatment
- Minor musculoskeletal strains/sprains (RICE, basic support, referral if imaging needed)
- Small abscess evaluation and I&D when appropriate, with follow-up wound care
- Migraine/acute headache protocols (non-red-flag) with anti-migraine therapy and hydration as indicated
Request Your Personal Care Today
Ready for healthcare that truly focuses on you? Connect with us to discuss your needs and create a personalized care plan. Your well-being is our priority.
FAQ
Important Things You Should Know
Signature Care is a private-pay, mobile nursing and nurse practitioner (NP) service providing high-touch, in-home medical care, wellness monitoring, chronic condition support, post-operative care, and limited urgent care services.
We come directly to your home for high-quality, personalized care.
Signature Care is primarily private pay.
However:
- Urgent Care visits may be eligible for insurance coverage.
- A collaborating physician may bill your insurance for telemedicine urgent-care follow-up.
- All concierge nursing, wellness, and routine services are private pay only. We will review coverage during your intake visit.
No. Signature Care is not a primary care provider and does not replace your PCP.
We strongly encourage all clients to maintain a PCP for:
- Annual physical exams
- Preventive screenings (mammograms, Pap smears, prostate exams, colonoscopies)
- Chronic condition management
- Long-term medication renewals
We work with your PCP to support your health at home.
We currently serve Metro Detroit and surrounding areas, including:
- Detroit
- Southfield
- Oak Park
- Royal Oak
- Ferndale
- Bloomfield
- Novi
- Dearborn
- And nearby cities
Distance fees apply for visits 25โ50 miles from central Detroit.
We provide a wide range of in-home nursing and NP services, including:
General Nursing
- Vital sign checks
- Medication setup & administration
- Lab draws
- Wound care
- Catheter care
- Ostomy care
- Tracheostomy maintenance
- Tube feeding setup
NP-Led Services
- Medical evaluation
- Prescriptions & medication refills
- Wound care orders
- Durable medical equipment (DME) orders
- Lab + diagnostic orders & interpretation
- Specialist referrals
Urgent Care (Non-Emergency Only)
UTI evaluation & treatment
IV fluid hydration for mild dehydration
Mild cellulitis evaluation & antibiotics
Upper respiratory infections (cold, flu, bronchitis, mild pneumonia)
Gastroenteritis (nausea, vomiting, diarrhea) treatment
Suturing / wound closure for minor lacerations
Rapid tests: flu, strep, COVID
Ear irrigation for wax buildup
Conjunctivitis (pink eye) treatment
Skin conditions: dermatitis, rashes, hives
Minor sprains/strains
Small abscess evaluation & drainage
Migraine/headache relief protocol
Phlebotomy for urgent labs (CBC, BMP, etc.)
(Emergency Exclusions)
We do not treat:
- Chest pain
- Stroke symptoms
- Severe breathing difficulty
- Active heavy bleeding
- Major trauma
- Severe allergic reactions (anaphylaxis)
- Loss of consciousness
- Psychiatric emergencies
Call 911 or visit the nearest emergency department for these symptoms.
Yes. All clients must complete a $100 intake assessment which includes:
- Medical history review
- Medication list review
- Home safety assessment
- Care plan creation
- Service recommendations
- Coordination with your PCP if needed
This ensures safe, appropriate services.
Same-day visits are available when schedule permits.
Add-on fees:
- Non-urgent same-day: +$50
- Urgent same-day: +$100
Urgent visits may require a collaborating physician telemedicine visit (billed separately).
All concierge services are private pay and billed at the time of appointment.
We accept:
- Debit/credit cards
- HSA/FSA cards
- Cash payments
- Membership options (when available)
Insurance may apply only to urgent care visits through our collaborating physician.
Yes.
Our Nurse Practitioner can:
- Prescribe medications
- Refill medications
- Order antibiotics (as appropriate)
- Order wound care supplies
- Order durable medical equipment (DME)
All prescribing follows Michigan NP regulations with collaborating physician oversight.
Yes.
At this time, we primarily serve adults and seniors, but may accept older teens for certain services.
Ask us if your situation qualifies.
Absolutely.
With your consent, we can:
- Update your PCP
- Consult specialists
- Share lab results
- Coordinate home health referrals
- Communicate care plans
We serve as an extension of your medical team.
We can help.
- The NP can perform an assessment and create wound care orders ($150).
- Once the care plan is in place, routine visits follow the standard wound-care pricing.
Yes!
Signature Care offers monthly concierge membership options for clients who need consistent support with:
- Chronic condition monitoring
- Medication setup
- Wellness checks
- Post-op follow-up
- High-touch nursing support
Ask to see available membership plans.
You can start by:
- ๐ Calling us
- ๐ง Emailing us
- ๐ Submitting the online intake form on our website
We will schedule your initial consultation to determine your care needs