1A CARE MANAGEMENT AGENCY NAME PROGRAM NAME
PHONE
WEBSITE
SHORT DESCRIPTION
AgeWell PACE
Program of All- Inclusive Care for the Elderly
Provides all-inclusive, comprehensive, and coordinated medical and social services to older adults 55+. Medical care, social services, adult day care, home care and other services. Assists individuals who need support to move from inpatient facilities (nursing facility, hospital) back home or into another community setting. Support connecting to in-home care options, housing coordination, short or longer term case management, help obtaining supplies, home modifications, or medical equipment, and more. A care management program designed to assist older adults to remain in their own homes and communities. Assistance for frail elderly 65+, Medi-Cal eligible. Short-term case management program designed to assist older adults to remain independent and safe at home. Assistance for 60+. Transitions Project helps individuals living in convalescent hospitals and skilled nursing facilities to relocate into their own apartments and homes. Offers programs specifically for those diagnosed with AIDS or HIV. Provides comprehensive services for the entire community, from bill paying to conservator of estate, to help older adults safely manage their finances. Supports transitions home after hospital stays in coastal communities of The Sea Ranch, Stewarts Point, Annapolis, Timber Cove, Cazadero with various needs such as coordinating appts, obtaining needed medical equipment, and other items.
707-615-4437
www.agewell.org
County of Sonoma Adult and Aging
Transition Services
707-565-4636
www.socoadrh.org/
County of Sonoma Human Services Adult and Aging Division County of Sonoma Human Services Adult and Aging Division
Multipurpose Senior Services Program
707-565-4636
www.aging. ca.gov/Programs_ and_Services/ Multipurpose_Senior_ Services_Program/ www.sonomacounty. ca.gov/Human- Services/Adult- and-Aging/Care- Management/ Linkages/ www.mydslc.org/
Linkages
707-528-2745
Disability Services and Legal Center
Transitions Project
707-544-1581
Face To Face
Care Services
707-303-1530
www.f2f.org
Jewish Family and Children’s Services
Seniors at Home
707-303-0507
www.seniorsathome. jfcs.org/
Mendonoma Health Alliance
Care Transitions
707-412-3176
www. mendonomahealth. org/care-transitions/
Aging and Disability Resource Directory | Chapter 1: Care Management & Supplies/Equipment | 9
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