Supporting Individuals and Families In Their Communities
Join the movement and make a difference today

Join the movement and make a difference today

TUFF – A Compassionate Approach to In-Home and Community Support Services
Located in the heart of Philadelphia, PA, TUFF was founded by a Registered Nurse with over 20 years of experience in the healthcare industry. Our mission is to provide high-quality, compassionate in-home support services that empower individuals to live independently and with dignity.
At TUFF, we understand that every person’s needs are unique, which is why we offer a range of services tailored to meet the individual goals and preferences of each individual. Whether you or loved one needs assistance with daily living activities, respite care, or support in the home and/or community, we are here to provide a trusted and caring presence.e quality of life for each person we serve.
Our mission is to empower individuals with intellectual disabilities by providing compassionate, personalized support in their homes and communities. We are committed to fostering independence, promoting inclusion, and enhancing the quality of life for each person we serve.

Our vision is to become an industry leader in providing supportive service that are instrumental in fostering inclusive communities where individuals with intellectual disabilities are empowered to live meaningful, independent lives. We aspire to build a future where everyone is recognized for their unique abilities, and where support and opportunities are accessible to all.
Enhanced In-Home and Community Supports
Caring for your loved one with skill, compassion, and heart—right at home and in the community.
At Togetherness in Understanding Families First, we understand that every person deserves to live a full, comfortable, and meaningful life—no matter how complex their medical needs may be. That’s why we specialize in Enhanced In-Home and Community Supports for individuals with intellectual and developmental disabilities (IDD) and complex medical needs, including tracheostomy and ventilator support.
Our dedicated and highly trained team provides personalized care and support designed to promote health, independence, and happiness in the most natural and least restrictive setting possible—your home and community.
Our Services Include
Additional Support Services
Why Families Choose Us
5980 North Norwood Street, Philadelphia, Pennsylvania 19138, United States
Mon | 09:00 am – 05:00 pm | |
Tue | 09:00 am – 05:00 pm | |
Wed | 09:00 am – 05:00 pm | |
Thu | 09:00 am – 05:00 pm | |
Fri | 09:00 am – 05:00 pm | |
Sat | Closed | |
Sun | Closed |
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