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Godwins Family Care · Our Services
Godwins Family Care Our Services
Care that sees you.
A guide to how we support families and facilities across North Atlanta, West Cobb, and surrounding areas. Care designed as a sliding scale, so you enter at the level that fits today and adjust as needs change.
Bianca G. C. Ume, MD, MBA, MS·Owner & Executive Director
Bethel Godwins, RN, MSN, FNP-C·Owner & Clinical Director
Rockdale · Cherokee · Douglas · Paulding · DeKalb · Fulton · Gwinnett · Bartow · Cobb
Couple walking together in a garden

Godwins Family Care is a Physician and FNP-led healthcare organization providing private home care, in-home primary care, and independent medical evaluations in Atlanta, Georgia. We have two distinct paths of in-home care, plus a complementary medical service line through our nurse practitioners and collaborating MD. Whether you need a companion for a few hours a week, full personal care for a loved one aging in place, or skilled nursing for complex medical needs, we have a service level that matches.

Our care is designed as a sliding scale rather than rigid packages, so you enter at the level that fits today and move up, down, or across as life changes. Being physician and advanced clinician-owned means we know what quality home care actually requires, and we hold every service line to that standard. Care coordination runs underneath every service we deliver, at every level. It's how we keep your whole care team informed and your needs ahead of the curve.

Caregiver coordinating with family at home
Foundation · Included in every service line

Care Coordination

Direct communication with your physicians, specialists, therapists, and care team. Documentation shared with families and providers. Proactive escalation when something changes. Being physician and FNP-owned means we know what quality home care requires, and we hold every service line to that standard.

A
Track A · Non-Medical Home Care

Personal Care & Companion Services

Hands-on personal care, daily living support, and companionship delivered by trained caregivers in your home or facility.
A1 Companion & Wellness Visits Companionship, social engagement, light errands, and consistent presence between family visits.
What's Included
Companionship, social engagement, supervised activity, transportation to appointments and outings, light errands, consistent presence between family visits.
Ideal Staffing
Companion or sitter caregiver, or pre-clinical student caregiver early in their nursing or healthcare program.
Where Do I Fit?
I want consistent presence and engagement at home, but I don't need help with personal care yet. I might be lonely between family visits, recently moved into independent living, or recovering from something where I just need a reliable person checking in.
A2 Essential ADL Support Bathing, dressing, grooming, transfers, and hands-on help with the physical tasks of daily living.
What's Included
Bathing, dressing, grooming, toileting assistance, transfers and mobility, feeding support, hygiene and incontinence care.
Ideal Staffing
PCA, CNA, or nursing student with completed competency training.
Where Do I Fit?
I need help with the physical tasks of daily living. Getting dressed, bathing safely, moving around the house. I'm still managing my home and meals, but my body needs hands-on support.
A3 Comprehensive Home Care Everything in A2 plus meal prep, light housekeeping, medication reminders, and transportation.
What's Included
Everything in A2, plus meal preparation, light housekeeping, medication reminders, transportation to appointments and errands, companionship.
Ideal Staffing
CNA or advanced-stage nursing student. Medication reminders and appointment coordination benefit from clinical-track training.
Where Do I Fit?
I need help with daily living and keeping the household running. Cooking, cleaning, getting to appointments, remembering medications. I want someone who can take the load off so I can focus on being well.
A4 Behavioral Support & Cognitive Wellness Dementia and behavioral care with structured routines, observation, and crisis de-escalation.
What's Included
Everything in A3, plus dementia and Alzheimer's care, behavioral observation, structured routines, cognitive activities, crisis de-escalation, safety planning.
Ideal Staffing
CNA or LPN/RN student with completed dementia and behavioral training. For severe behavioral cases, elopement risk, or post-psychiatric hospitalization, an LPN pairing is more appropriate.
Where Do I Fit?
I'm managing memory loss, behavioral changes, or recent psychiatric needs. My family worries about my safety, agitation, or wandering. I need someone trained who knows how to keep me calm and safe without making me feel managed.
B
Track B · Clinical Home Care

Skilled Nursing & Provider Services

Skilled nursing care that scales from visits to continuous shifts, plus family nurse practitioner-led provider visits in your home or facility.
B1 Skilled Nursing Care Wound care, injections, vitals, and complex chronic management. Scales from visits to continuous shifts.
What's Included
Wound care, medication administration and injections, vital sign monitoring, diabetic management, catheter and ostomy care, G-tube feeds, post-surgical observation, complex chronic disease management. Time blocks scale to your needs: discrete visits (1-2 hours) for specific tasks, or continuous shifts (4-24 hours) when continuous nursing presence is needed.
Ideal Staffing
LPN with RN supervisory oversight. Time blocks adapt from short visits to extended shifts. For dementia or behavioral cases, LPN clinical hours pair with CNA companion shifts to balance cost while maintaining coverage.
Where Do I Fit?
I need clinical care at home. Sometimes that's twice-weekly visits for wound care or injections. Other times it's continuous coverage during recovery or for complex needs. I want one team that scales with me.
B2 Provider Care Visits In-home nurse practitioner visits for prescribing, behavioral health, and chronic disease management.
What's Included
In-home assessments by your nurse practitioner, prescribing in coordination with your primary care provider, behavioral health medication management, chronic disease management visits, post-hospital follow-up, and care plan oversight.
Ideal Staffing
your nurse practitioner, working with your primary care provider.
Where Do I Fit?
I need a primary care or specialist provider who comes to me, especially for behavioral health med management, chronic disease oversight, or post-hospital follow-up. I want continuity between my home care team and my prescribing clinician under one roof.
Side by Side · What's Included vs. What You Can Add

Care Coordination & Case Management

Care coordination is the foundation in every Godwins service. Case management is professional psychosocial advocacy delivered by our LMSW team at two intensity levels. The two stack: case management clients still receive coordination as part of their home care. Examples are illustrative; every situation is unique.
Included · Foundation

Care Coordination
Logistics across the existing care team. What our caregivers, LPNs, FNPs, and MDs do as part of delivering care, documented and communicated proactively to family and providers.
Examples In Practice
  • Caregiver notices Mom isn't eating well. We document it, alert the PCP, follow up on labs or a med review.
  • Daughter texts that Dad fell overnight. We alert the FNP, update the care plan with fall precautions, loop in PT.
  • Pharmacy flags a refill conflict on a new prescription. We loop the prescriber and document the resolution.
No additional cost. Part of every service we provide, at every level.
Add-On · Standard

Standard Case Management
Active clinical advocacy and planning for clients managing multiple providers. Delivered by our LMSW team, on a monthly care coverage. Stacks with any home care service.
Examples In Practice
  • Comprehensive psychosocial assessment at intake covering emotional wellbeing, cognitive function, family dynamics, and social support.
  • Supportive emotional check-ins for clients adjusting to a new diagnosis or significant life change. Non-clinical support that complements existing therapy.
  • Family caregiver education and support around managing dementia-related behavioral changes at home.
Billed as a monthly care coverage. Professional services under our LMSW team.
Add-On · Intensive

Intensive Case Management
High-touch clinical management for clients in active transition or crisis. Includes weekly contact, real-time provider coordination, and active intervention authority. Billed at a higher monthly care coverage level than standard.
Examples In Practice
  • Coordinating discharge from psychiatric hospitalization. Medication reconciliation, post-discharge psychiatry appointment, safety plan to family and home care team.
  • Sustained psychosocial support through dementia progression. Stage-appropriate care planning, anticipatory grief, and quality-of-life decisions.
  • Real-time provider coordination during complex transitions like ICU to step-down to home, aligning multiple specialty teams and family on a rapidly changing plan.
Billed as a higher monthly care coverage. Weekly contact and active intervention authority.
Add-On Program · Pairs with any Godwins service

Continuous Care Program

A hybrid program for memory care and complex chronic disease patients. Combines private-pay monitoring under the agency with Medicare-billable chronic care management under our FNP team's clinical practice.
Family discussing care plan and medications at home
Phase 1 · Available Now

Enhanced Monitoring & Family Communication
Delivered by Godwins Family Care · Private Pay

Camera-based behavioral observation between caregiver visits, scheduled video check-ins, and a real-time family communication portal. Designed to extend clinical eyes beyond scheduled hours and catch changes early.

  • Blink camera setup and behavioral monitoring
  • Three video check-ins per defined window
  • Family portal for daily updates and clinical notes
  • Escalation pathway when monitoring surfaces concerns
Pricing details available on request.
Phase 2 · Coming Soon

Chronic Care Management
Delivered under our FNP team's clinical practice · Billed to Medicare Part B

For clients with two or more chronic conditions, chronic care management provides Medicare-covered care coordination time delivered by clinical staff under FNP supervision within our practice. This is the near-term clinical expansion of the program, launching once Medicare enrollment completes.

  • Medicare-covered care coordination, billed to Part B and most Medicare Advantage plans
  • Twenty or more minutes monthly of dedicated coordination time
  • Comprehensive care plan signed by your nurse practitioner
  • Twenty-four-seven access to the care team for urgent needs
  • Patient consent documented at enrollment
Billed to Medicare Part B and most Medicare Advantage plans. Standard cost share applies at your plan rate.
Phase 3 · Future Rollout

Remote Patient Monitoring
Delivered under our FNP team's clinical practice · Billed to Medicare Part B

Adds Medicare-covered physiological monitoring with FDA-approved devices for blood pressure, weight, glucose, pulse oximetry, or heart rate. Designed to layer on top of chronic care management, not replace it.

  • Medicare-covered remote monitoring through approved devices
  • Daily readings reviewed by your care team
  • Early intervention when readings trend out of range
  • Coordinated with your existing chronic care management plan
Timing tied to device platform selection and Medicare enrollment for monitoring services.
Why this matters for you. Phase 1 is available now under private pay. Phase 2 adds Medicare-covered chronic care management once enrollment completes. Phase 3 adds remote monitoring once devices are in place. You experience one coordinated team across all three phases while we handle the billing complexity.
Not sure where to start?

How do I know what works for me?

A quick way to compare service levels side by side and find the right fit.

Here is our comparison chart — a side-by-side look at every service level so you can see what's included, who delivers it, and where you fit.

View the comparison chart

How Payment Works

Personal Care & Skilled Nursing How are home care and nursing services billed?

Personal care, companion services, and skilled nursing care (visits and continuous shifts) are billed by Godwins directly. Paid through private pay, long-term care insurance (paneling in progress with Genworth, Mutual of Omaha, Northwestern Mutual, John Hancock, Transamerica), VA contracts, and Georgia Medicaid waivers (Katie Beckett, ICWP) once Medicaid certification is approved.

Provider Care Visits How do nurse practitioner visits get billed?

In-home visits with your nurse practitioner are billed as professional services through Medicare Part B, commercial insurance once credentialing completes, or private pay. Billed separately from your home care invoice.

Labs, Imaging & Prescriptions What about labs, imaging, and prescriptions?

When a provider visit calls for bloodwork, imaging, or new medications, your nurse practitioner orders directly with the lab, imaging center, or pharmacy of your choice. Those facilities bill your insurance through their standard channels. Godwins does not process these claims. Standard copays and deductibles apply at the ancillary facility.

Working Alongside Your Other Providers

Medicare Home Health Are you a Medicare home health agency?

Medicare home health agencies deliver intermittent skilled nursing combined with PT, OT, ST, or medical social services. We are not a Medicare home health agency, and we coordinate with yours when those services are active.

After Medicare Home Health What happens when Medicare home health ends?

When Medicare home health ends but skilled care needs continue, we pick up through private pay, LTC insurance, Medicaid waiver, or VA benefits. Many clients use us specifically for the continuous shift nursing Medicare home health doesn't cover.

Hands held in a moment of care
Godwins Family Care

There when everyday life... changes.

Care that holds steady when life shifts. We'd love to hear from you when you're ready to talk.
Schedule a free consultation (404) 913-6705 [email protected]
godwinsfamilycarellc.com