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One City, Two Counties, Two Agencies on Aging

Bethlehem is the only city in Pennsylvania that sits in two counties at once. The line runs straight through it: most of the city, and most of its growth, is in Northampton County, while the western portion is in Lehigh. For anyone arranging home care in Bethlehem, PA that is not a piece of trivia — it decides which county office you are calling. Households on the Northampton side deal with the Northampton County Area Agency on Aging at 2801 Emrick Boulevard, right here in the 18020 zip code; households on the Lehigh side deal with the Lehigh County Office of Aging and Adult Services in Allentown. Care management and shared-ride sponsorship follow that boundary: LANtaVan, the region’s door-to-door service, takes referrals through whichever county Area Agency on Aging covers the address.

We work across the whole city and both counties, so nobody has to figure out which side of the line their parent's house falls on before they can get help scheduled. Our own office is at 74 W. Broad Street, open Monday through Friday from 8:30 a.m. to 4:30 p.m., with around-the-clock care available. Call (484) 626-5420 and we can sort the rest out.

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Two Trauma Centers, One Small City

For a city of roughly 78,000, Bethlehem is unusually well covered. St. Luke's University Hospital–Bethlehem Campus on Ostrum Street in Fountain Hill is an adult Level I trauma center and the home of St. Luke's Children's Hospital. Across the river to the north, Lehigh Valley Hospital–Muhlenberg on Schoenersville Road is an adult Level II trauma center serving both counties. Most Bethlehem families we hear from are calling within a day or two of a discharge from one of those two buildings.

Recovery frequently routes through somewhere else first: Good Shepherd's Bethlehem home on Schoenersville Road, the skilled nursing centers on Westgate Drive, Cedarbrook's Fountain Hill campus on Delaware Avenue, or one of the city's life plan communities such as Kirkland Village or Moravian Village. Those places hand a family back a parent who is better but not the person who left. Someone still has to be there at 7 a.m. for the first weeks. Depending on how the discharge went that looks like hospital to home care, a few structured hours a day of personal care, or live-in care when going back to living alone is not realistic.

Services offered in Bethlehem, PA

Live-In Care

Live-In Care

Live-in care provides seniors with the consistency of having the same dedicated caregiver daily, allowing them to build trust and familiarity in their care routine. This arrangement enables seniors who need assistance with most activities of daily living to remain comfortably at home, maintaining their independence while receiving comprehensive support from their live-in caregiver.

Hourly Care

Hourly Care

Hourly care provides flexible, scheduled support for seniors in their homes. Caregivers visit for set periods, offering assistance with daily tasks, personal care, and companionship tailored to the client's specific needs and preferences. This service can range from short shifts a few days a week to full 24/7 around-the-clock care, accommodating a wide spectrum of care requirements and ensuring seniors receive the right level of support.

Overnight Care

Overnight Care

Overnight care offers peace of mind with an awake caregiver present during nighttime hours. This service ensures assistance is available for nighttime needs, emergencies, or early morning routines, allowing clients needs to be met overnight, enabling family members or daytime caregivers to have uninterrupted sleep.

Always On Virtual Care

Always On Virtual Care

Always On Virtual Care pairs our caregivers with Sensi, an AI-powered audio sensor that detects falls, distress, early UTI signs, and other care events around the clock. Sensi alerts our team the moment something changes — so families gain a second set of eyes during the hours a caregiver isn't physically in the room, and seniors stay safer at home for longer.

South Side Stairs, North Side Sidewalks

The Lehigh River splits Bethlehem into two very different caregiving problems. The South Side's residential streets climb the approaches of South Mountain behind Lehigh University: masonry and brick homes built close together for steel families, short lots, steep front steps, and bedrooms and bathrooms upstairs. The North Side rises from the Monocacy Creek valley, where the Moravians laid out the 1741 settlement now inscribed as a UNESCO World Heritage Site, into the flatter, more walkable blocks of west and northeast Bethlehem, where brick ranches put everything on one floor. Keep going and you reach Bethlehem Township, with larger lots, split-levels and colonials, and a car required for everything.

Crossing between the halves is its own consideration. The Hill to Hill Bridge, open since 1924, carries Route 378 from Wyandotte Street on the South Side to the ramps on the North Side, with the Fahy and Minsi Trail bridges taking the rest. It is a short drive on a clear Tuesday and something else entirely in ice or during a downtown closure — which is why we try to match caregivers to the side of the river they already live on. On the South Side hills in particular, mobility care starts at the front steps, not at the front door.

Ten Days in August, and the Other 355

Every August since 1984, Musikfest has taken over both halves of Bethlehem for ten days — the historic Moravian district on the North Side and the SteelStacks campus on the South Side, sixteen stages, fifteen of them free, and more than a million visitors. In December the Christmas City fills up again for Christkindlmarkt. For families with a parent in the middle of it, those weeks mean closed streets, no parking within blocks of the house, and a lot of noise for someone with dementia who does better on a predictable schedule. We plan around them rather than pretending they are not happening.

The rest of the year, the anchors are quieter and closer: the Rooney and Basilio Huertas senior centers on East Fourth Street on the South Side, Old York Road Senior Center up on the North Side, and the Fountain Hill Senior Center on Seneca Street. Getting a parent to one of them twice a week is often worth more than another hour of housekeeping, and it is exactly what companion care is for. We serve 18015, 18017, 18018 and 18020, plus the surrounding boroughs — see the full list of communities, or read more about home care across the Lehigh Valley.

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