Personalized Care
Every patient receives an individualized care plan tailored to their medical history and goals.
About Us
Compassionate Expertise, Delivered at Home
Dedicated to helping patients remain safe, healthy, and independent through personalized home-based internal medicine and geriatric care.
Our Mission
Clinical excellence, delivered with warmth
Our mission is to bring the highest standard of internal medicine into the place patients feel most themselves their own home. We believe clinical excellence and genuine compassion are inseparable, and that dignity is a clinical outcome worth measuring.
We build care around each person's history, goals, and family circumstances, focusing relentlessly on safety, prevention, and independence. Every plan is designed to reduce avoidable hospitalizations, protect quality of life, and give families confidence that someone experienced is watching closely.
Our Clinical Approach
Three principles guide every visit
Preventive Focus
We emphasize proactive management to reduce complications and hospitalizations.
Coordinated Support
We work closely with patients, caregivers, and healthcare partners to ensure continuity of care.
Core Clinical Services
What our home-based care covers
Chronic Care Management
Ongoing, proactive oversight of complex long-term conditions — heart failure, COPD and asthma, diabetes, dementia, hyperlipidemia, obesity, arthritis, depression, and chronic pain. We monitor trends between visits, adjust treatment early, and keep families informed at every step.
Medication Management
A full review of every prescription, supplement, and over-the-counter product in the home. We identify interactions, simplify complicated regimens, and build routines that make doses easier to take correctly.
Risk Management & Fall Prevention
Room-by-room in-home safety assessments that flag trip hazards, lighting and mobility issues, and gaps in support — paired with practical recommendations that reduce emergency room visits.
Acute Care Coordination
Prompt evaluation of sudden, non-life-threatening illnesses in the home, with rapid treatment and specialist coordination before a manageable problem becomes an admission.
Transitional Care
Structured follow-up in the critical days after hospital discharge: medication reconciliation, symptom monitoring, and clear next steps to support recovery and prevent readmission.
Provider Biography
John Fankmeni, ARNP, A-GNP
John Fankmeni has devoted his career to caring for older adults with complex medical needs. His expertise includes chronic disease management, medication safety, clinical case management, and patient advocacy. Recognized with the Christiana Care Excellence Award in 2017, he combines advanced clinical skills with genuine empathy to ensure patients receive comprehensive, dignified care in their own homes.
Christiana Care Excellence Award 2017
Our Values
The standards we hold ourselves to
Compassion
We treat every patient with kindness, respect, and empathy.
Excellence
We uphold the highest standards of clinical care and patient safety.
Integrity
We communicate honestly and act in the best interests of our patients.
Independence
We help patients maintain the highest possible quality of life at home.
Holistic Health Care Providers
Health Care With Compassion at Home
Home-based internal medicine and geriatric care serving Middletown to the entire New Castle, Kent Counties
Contact
- John Fankmeni, ARNP, A-GNP
600 N. Broad St, Suite 5 #679
Middletown, DE 19709 - 302-279-9449
- Fax 302-464-8592
- johnfankmeni@holisticproviders.org
© 2026 Holistic Health Care Providers. All rights reserved.
Home-based internal medicine & geriatric care · Middletown, New Castle, Kent Counties