Directory · Buncombe County
Home Care Agencies in Buncombe County
By Asheville Senior Care Guide · Updated July 2026
A starting list of established 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.
Personal / 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 | 24 Sardis Rd, Asheville 28806 |
| FirstLight Home Care of Asheville | (828) 505-4337 | Personal / companion care | Serves Asheville, Buncombe & Biltmore Forest |
Also serving the county: Givens Home First (a local nonprofit aging-in-place program) and All Ways Caring HomeCare.
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 |
|---|---|---|---|
| Asheville Home Health | (828) 676-6176 | Skilled home health | 417 Biltmore Ave, Ste 5D, Asheville |
| CarePartners Home Health (Mission) | See CarePartners | Skilled home health | Regional Medicare-certified home health |
| A New Hope Home Care | See website | Skilled (trach, vent, infusion) | Adult & pediatric skilled care, Asheville |
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.
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