Licensed In-Home Care Agencies in Asheville, NC

25 in-home care agencies serving Asheville, NC hold an active North Carolina Home Care Agency license, as listed in the North Carolina Division of Health Service Regulation public roster dated October 6, 2026. They are shown in alphabetical order. We do not rank them, because no fair public quality data exists for in-home care agencies and we will not invent a score.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In North Carolina, the median rate for in-home care is $30 an hour, about $2,600 a month for 20 hours a week (CareScout 2025).

The 25 agencies on this list are based in 4 ZIP codes; the busiest are 28803 (12 agencies), 28806 (10 agencies) and 28804 (2 agencies). By license type: Home Care Agency (In-Home Aide, Companion, Sitter and Respite) (20), Home Care Agency (Companion, Sitter and Respite) (4) and Home Care Agency (In-Home Aide) (1). If Asheville has too few choices for your needs, the closest other cities we list are Arden (5 agencies, about 6 miles away), Fletcher (5 agencies, about 9 miles away) and Hendersonville (10 agencies, about 17 miles away).