Home-Based Geriatric Primary Care | House calls in Central Maine
Site currently under development, please be patient while any bugs are ironed out.Dome Health brings quality care directly to you. We specialize in caring for Maine's aging adults, supporting health and independence wherever you live. We manage all your primary care needs and more in the comfort of your own home. Our whole-person approach ensures your healthcare is both accessible and aligned with what matters most to you.
Our Providers:
Isaiah Meyer, MS, APRN, AGPCNP-C is a board-certified Adult Gerontology Primary Care Nurse Practitioner with over a decade of experience caring for older adults throughout Maine. He specializes in geriatric primary care, complex chronic conditions, dementia care, and innovative home-based healthcare delivery.
Isaiah brings extensive experience from diverse healthcare settings. He has served as faculty at Maine Dartmouth Geriatric Medicine's Fellowship Program, provided veteran care through VA Home Based Primary Care, and worked as Medical Director at Maine's largest private residential care organization. He earned his Bachelor’s in Nursing from the University of Southern Maine and his Master of Nursing from Boston College. He is board certified in the specialties of Adult & Gerontological Primary Care Advanced Practice Nursing from the American Association of Nurse Practitioners.
As President of the New England Chapter of the Gerontological Advanced Practice Nurses Association and board member of Dirigo Geriatrics Society, Isaiah is actively involved in advancing gerontologic nursing and geriatrics care throughout the region.
Isaiah founded Dome Health, LLC to improve care for individuals with complex health conditions while partnering with families, caregivers, and care organizations to deliver care centered on what is most important to each patient.
When not making house calls throughout Central Maine, Isaiah enjoys gardening and cooking at home with his life-partner Laura, their two sons, and two dogs.
Provided Services:
Home-based primary care visits (House calls)
Geriatric assessment and planning
Geriatric preventative care screening
Evaluations of cognition, memory and dementia
Annual wellness visits
Annual physicals
Acute care visits
Telehealth visits
Emergency and hospital follow-up visits
Review of testing results
Ongoing care coordination
Comprehensive medication review and management
Chronic disease management
Comprehensive dementia care
Referrals to specialists and skilled services
Durable medical equipment orders (walkers, wheelchairs, etc)
Primary palliative care and advanced care planning
Attending provider for Hospice services
Management of Chronic Diseases:
Dementias; Alzheimer’s, Lewy Body, Frontotemporal
Parkinson’s Disease
Cancers
Chronic kidney disease/ Anemia
Chronic Obstructive Pulmonary Disease (COPD)
Heart failure
Diabetes
Coronary heart disease
High blood pressure
High cholesterol
Mobility Impairment
Osteoporosis
Prevention and complications of hip fracture
Stroke
Thyroid conditions
Wounds
Skin rashes
Medication complications, side effects
Anxiety and depression
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Frailty/ frequent falls
Incontinence
Obesity
Chronic pain/ arthritis
Insomnia
Management of Acute Conditions:
Falls
Mental status changes
Earaches
Respiratory problems; cough, shortness of breath, sore throat, sinus pain
Insect bites
Allergies
Urinary problems
Fever
Emergency department follow up
Medication reactions
Wounds
Pain
Headache
Vision changes
Dizziness
Nausea
Diarrhea/ Constipation
Weight changes
Sudden illness
*Please note the above lists are not all-inclusive of the services offered or conditions managed.Currently, we serve the following areas:
Albion
Augusta
Belgrade
Benton
Burnham
Canaan
Chelsea
China
Clinton
Fairfield
Farmingdale
Fayette
Freedom
Gardiner
Hallowell
Manchester
Mercer
Mt. Vernon
New Sharon
Norridgewock
Oakland
Palermo
Pittsfield
Readfield
Rome
Sidney
Skowhegan
Smithfield
Unity
Unity Township
Vassalboro
Vienna
Waterville
West Gardiner
Windsor
Winslow
Winthrop
If your location is not listed, contact our office to see if we will be expanding to your area soon.
Frequently Asked Questions:
What is Home-Based Primary Care?
Home-based primary care brings your medical provider directly to you. This proven care model improves outcomes for individuals with complex medical needs by delivering services where you live—whether at home or in a residential facility. We provide all typical primary care services plus specialized management of conditions that affect daily living, such as dementia and heart failure.
If I already have a primary care doctor, do I continue seeing them?
No, Dome Health will become your new primary care provider when you join our practice. This transition begins on the date of your first visit with us.
Will you notify my current doctor that I'm switching to Dome Health?
Yes. Once you complete your admission paperwork and are accepted as a new patient, we'll contact your previous provider and request your medical records.
Is there a physical clinic where I'll be seen?
No. All visits are delivered in-person where you live or via video calls. When you become a new patient, you'll receive detailed instructions about what to expect during your initial visit along with your new patient paperwork.
I live in a care facility. Can you see me there?
Yes! We provide care wherever you call home—including assisted living, memory care, and residential facilities. The only exception is nursing homes, where you're required to see the on-staff medical provider and cannot choose an outside primary care service.
How often will I see my provider?
We're here when you need us! Dome Health is available 24/7 through our ongoing care, acute services, and on-call support. For stable health conditions, we typically recommend visits every 3 months to manage chronic conditions and include routine visits like annual check-ups. However, your care plan is personalized based on your individual health needs.
Do you offer video visits?
Absolutely! Video visits help us provide convenient access to your healthcare provider. Many check-ins and non-urgent needs can be handled via video through your computer, smartphone, or tablet. Visit our website for setup instructions and technical support.)
Or Call our office at (207) 378-4660 to speak to a staff member or leave a message with your call back number requesting to become a new patient.
We'll respond as soon as possible to answer your questions and guide you through the enrollment process
Call us at (207) 378-4660
Download our new patient packet from our website
We'll respond as soon as possible to answer your questions and guide you through the enrollment process.
What are your business hours?
Business hours: 8:00 AM to 4:30 PM EST Mon-FriFor medical emergencies call 911. For other urgent matters, we have a provider on call 24 hours a day 7 days a week. Call our office and follow the instructions to reach our on-call provider.
What insurance do you accept?
Medicare
Medicaid
Most Commercial Insurance Plans
How will I be billed?
Billing works similarly to your previous primary care provider. Your insurance will be billed directly for services. If you have a co-payment or co-insurance, you'll be notified and can pay at the time of your visit. For specific questions about coverage, contact your insurance provider and ask about home visit benefits.
Who can make healthcare decisions for a patient?
Many of our patients have designated healthcare decision-makers due to cognitive or functional needs. These may include:
Healthcare proxy or surrogate decision maker
Power of Attorney for healthcare
Legal guardian
Please provide documentation of any designated decision-makers with your admission paperwork. This ensures they have access to important information and can fully support your care.
Have more questions? Contact us at (207) 378-4660 or through our website. We're here to help!Contact us:Dome Health, LLCPhone: (207) 378-4660Patient Portal
Office Hours:Monday 8am-4:30pmTuesday 8am-4:30pmWednesday 8am-4:30pmThursday 8am-4:30pmFriday 8am-4:30pm
Dome Health
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Telephone: (207) 378-4660
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