Directory · Buncombe County
Home Care Agencies in Buncombe County
By Asheville Senior Care Guide · Updated July 2026
A directory of licensed agencies serving Asheville and Buncombe County, split by the two kinds of in-home help. This is an independent resource; no agency pays to be listed. Always confirm current services, availability, and pricing directly, and verify state licensing before hiring. New to the difference between these two? Read our In-Home Care guide first.
How to Compare Home Care Agencies in Asheville
When families search for home care agencies in Asheville, the first question is usually availability. That matters, but it should not be the only question. Agencies can differ in scheduling flexibility, caregiver training, minimum hours, backup coverage, dementia experience, transportation help, communication, and how they handle changing needs over time.
- Ask whether the agency can cover the specific days and hours you need.
- Ask what happens if the regular caregiver is sick, late, or not a good fit.
- Ask about minimum shifts, weekend coverage, holiday rates, and cancellation rules.
- Ask whether caregivers can help with bathing, dressing, toileting, transfers, meals, errands, or transportation.
- Ask what dementia, fall-risk, mobility, or behavior training caregivers receive.
- Ask how the agency communicates concerns to family members.
- Ask whether pricing is hourly, whether deposits are required, and what is included.
For a consistent call script, download the In-Home Care Interview Checklist. If cost is the main question, compare this page with Private Pay for Senior Care, Respite Care, and Caregiver Burnout.
Personal and companion care (non-medical)
Help with daily living: bathing, dressing, meals, medication reminders, companionship, transportation, and light housekeeping. Paid privately, through long-term care insurance, VA benefits, or a Medicaid waiver, not regular Medicare.
| Agency | Phone | Type | Notes |
|---|---|---|---|
| Council on Aging of Buncombe County | (828) 277-8288 | Personal care + resource hub | Nonprofit; the central first call for aging services |
| Home Instead | (828) 274-4406 | Personal / companion care | 1550 Hendersonville Rd, Ste 206, Asheville |
| Visiting Angels | (828) 665-3944 | Personal / companion care | Serves Asheville, Weaverville, Candler, Swannanoa, Black Mountain |
| FirstLight Home Care of Asheville | (828) 505-4337 | Personal / companion care | Asheville, Buncombe and Biltmore Forest |
| All Ways Caring HomeCare | (828) 252-0891 | Personal care / companion | Formerly ResCare HomeCare |
| Mountain Home Care | (828) 684-6444 | Personal care + care management | Arden; companion care and geriatric care management |
| Premier Home Health Care Services | (828) 277-5950 | In-home aide + private duty | 1550 Hendersonville Rd, Ste 210, Asheville |
| Interim HealthCare of Asheville | (828) 274-2082 | Private-duty nursing + aide | Adult and pediatric; VA and private insurance |
| Maxim Healthcare Services | (828) 299-4388 | Private-duty nursing + personal care | 1269 Tunnel Rd; companion and I/DD services |
| Givens Home First | See website | Aging-in-place program | Local nonprofit (Givens Communities) |
Skilled home health (medical)
Skilled nursing, wound care, and physical, occupational, or speech therapy at home, delivered by licensed clinicians under a physician’s order. Often covered by Medicare or Medicaid when short-term and medically necessary.
| Agency | Phone | Type | Notes |
|---|---|---|---|
| CarePartners Home Health (Mission Health) | (828) 277-4722 | Skilled home health | Medicare-certified; nursing, therapy, in-home aide |
| CenterWell Home Health | (828) 298-1370 | Skilled home health | Medicare-certified (formerly Kindred at Home) |
| AdventHealth Home Care Western NC | (828) 687-5261 | Skilled home health | Medicare-certified; serves Buncombe from Fletcher |
| Asheville Home Health | (828) 676-6176 | Skilled home health | 417 Biltmore Ave, Ste 5D, Asheville |
| PruittHealth @ Home | (828) 682-7825 | Skilled home health | Medicare-certified; regional coverage |
| Madison Home Care and Hospice | (828) 649-2705 | Home health + in-home aide | Marshall; serves Buncombe and Madison |
| A New Hope Home Care | See website | Skilled (trach, vent, infusion) | Adult and pediatric skilled care, Asheville |
Compiled from North Carolina licensure records and the Association for Home and Hospice Care of NC directory. No agency pays to be listed. Confirm current services, availability, and NC licensing directly before hiring.
Before you hire, ask: Is the agency licensed in North Carolina? Are caregivers employees (screened, bonded, insured) or contractors? Who covers a shift if your caregiver is sick? Is there a nurse supervising the care plan? A reputable agency answers all of these in writing.
How to choose a home care agency in Asheville
The right agency depends less on a brochure and more on the day-to-day reality inside the home. Before calling agencies, write down the specific help needed during a normal week: morning care, bathing, meal prep, transportation, medication reminders, overnight supervision, dementia-related cueing, or short-term help after a hospital stay. That list makes the phone call more useful and helps you compare agencies on the same terms.
- Start with the care need. Companion and personal care are different from skilled home health. If nursing, wound care, or therapy is needed, ask whether the service must be ordered by a physician.
- Ask about minimum shifts. Some agencies require a minimum number of hours per visit or week, which can change the real monthly cost.
- Clarify who supervises the plan. Families should know whether a nurse, care manager, or office coordinator updates the care plan and checks in after service begins.
- Plan for backup coverage. A good agency should explain what happens if a caregiver is sick, late, or not a good personality fit.
When home care may not be enough
In-home support can be a strong fit when someone is mostly safe at home with scheduled help. It may be time to compare facility options if there are repeated falls, wandering, unsafe medication use, frequent emergency calls, caregiver exhaustion, or needs that now require reliable help throughout the day and night. In those situations, use the Start Here quiz or review the facility directory alongside home care options.
Questions to ask before starting service
- What services are included in the hourly rate, and what costs extra?
- Is there a written care plan, and how often is it reviewed?
- Are caregivers employees of the agency, and what screening or training is required?
- Can the agency support dementia-related needs, transfers, incontinence care, or two-person assists if those become necessary?
- How quickly can care begin, and can hours increase if the situation changes?
- Who should the family call after hours if there is a missed shift or urgent concern?
Paying for home care
Many families use private pay for non-medical home care. Depending on the situation, long-term care insurance, VA benefits, Medicaid waiver programs, or short-term skilled home health benefits may also be part of the picture. Because coverage rules are specific, confirm details directly with the agency, insurer, or benefits program. For a broader overview, see Paying for Senior Care in Asheville and the Private Pay guide.
Not sure which agency fits?
Tell us your situation and a local guide will help you compare in-home care options. Free, and no sales pressure.
Related guides
Interview agencies consistently
Download the In-Home Care Interview Checklist and ask each agency the same questions about licensing, caregivers, coverage, cost, and communication.
Download Home Care ChecklistWhy publicly funded home help can still involve waiting
Some in-home services for older adults are supported through the Home and Community Care Block Grant, or HCCBG. In North Carolina, HCCBG helps fund local services for adults age 60 and over, including in-home aide, home-delivered meals, transportation, adult day services, home repair, home health care, information and assistance, and caregiver support.
The important practical point is that these services are local and capacity-limited. Counties and Area Agencies on Aging help set priorities, and the available provider network and funding do not always match demand. Public reporting and aging-policy coverage have repeatedly described statewide waiting lists for HCCBG-supported services, especially in-home aide and home-delivered meals.
What families should do: contact Land of Sky Area Agency on Aging and ask what services are available in Buncombe County now, whether there is a waitlist for the specific service needed, and whether another program such as CAP/DA, Project C.A.R.E., Family Caregiver Support, Meals on Wheels, or county DSS screening should also be explored.
Why this matters: being told to wait does not always mean the need is minor. It may mean the publicly funded service pipeline is full.
Official source: NC DHHS describes HCCBG-supported In-Home Aide and home-delivered meal services. For Buncombe County, start with Land of Sky Area Agency on Aging at 828-251-6622.