#1
Active At Home Senior Services
3523 Courtland Dr., Durham, NC 27707
★★★★★ 5.0 from 74 Google reviews · Licensed in North Carolina
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
The 9 top-ranked in-home care agencies serving Durham, NC, ordered by the Care Close to Home Score. Each holds an active North Carolina Home Care Agency license and has at least 10 public reviews. Active At Home Senior Services ranks first with 5.0 stars from 74 reviews.
Updated November 2026 · Data: state license rosters, checked October 6, 2026 · How we list agencies

One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.
#1
3523 Courtland Dr., Durham, NC 27707
★★★★★ 5.0 from 74 Google reviews · Licensed in North Carolina
#2
3801 Lake Boone Trail, Suite 190, Raleigh, NC 27607
★★★★½ 4.7 from 132 Caring.com reviews · Licensed in North Carolina
#3
3622 Shannon Road; Suite 103, Durham, NC 27707
★★★★★ 5.0 from 45 Google reviews · Licensed in North Carolina
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
102 Commonwealth Court; Suite K, Cary, NC 27511
★★★★½ 4.6 from 116 Caring.com reviews · Licensed in North Carolina
#5
1210 SE Maynard Rd., Suite 202, Cary, NC 27511
★★★★½ 4.6 from 79 Caring.com reviews · Licensed in North Carolina
#6
2501 Blue Ridge Road , Suite 190, Raleigh, NC 27607
★★★★½ 4.7 from 52 Caring.com reviews · Licensed in North Carolina
#7
101 Cosgrove Avenue; Suite 120, Chapel Hill, NC 27514
★★★★½ 4.9 from 30 Google reviews · Licensed in North Carolina
#8
4002 Barrett Drive Suite 103, Raleigh, NC 27609
★★★★½ 4.8 from 34 Caring.com reviews · Licensed in North Carolina
#9
4242 Six Forks Road Suite 1550, Raleigh, NC 27609
★★★★½ 4.9 from 25 Caring.com reviews · Licensed in North Carolina
Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.
Request free helpNon-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
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Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.
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We ranked the top nine in-home care agencies serving Durham, NC. Every one holds an active North Carolina Home Care Agency license in the North Carolina Division of Health Service Regulation public roster dated October 6, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 150 licensed agencies serving Durham, NC are not listed here.
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 159 agencies on this list are based in 8 ZIP codes; the busiest are 27707 (37 agencies), 27703 (36 agencies) and 27713 (32 agencies). By license type: Home Care Agency (In-Home Aide, Companion, Sitter and Respite) (150), Home Care Agency (Companion, Sitter and Respite) (8) and Home Care Agency (In-Home Aide) (1). If Durham has too few choices for your needs, the closest other cities we list are Chapel Hill (22 agencies, about 8 miles away), Morrisville (5 agencies, about 10 miles away) and Carrboro (3 agencies, about 11 miles away).
Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay
Durham is a university and research city where Duke, the American Tobacco district and Research Triangle Park shape daily life. Older residents live in long-established areas such as Hayti, Morehead Hill and West Durham, in converted tobacco-era buildings, and increasingly in newer southern Durham County subdivisions. The city has a deep Black history and a strong arts and food scene, and many seniors have lived here through its transformation. Families arranging help at home often balance a parent staying in a familiar neighborhood with relatives who work in the Triangle or live farther away.
15.2% of residents are 65 or older. Source: Durham County (county figure, not city), Census QuickFacts July 1 2025 estimates; city figure not found for a recent year.
In Durham, families ask about care in Hayti, West End, West Durham, Morehead Hill, East Durham, Bright Leaf Historic District and Downtown Durham.
Agencies listed here also commonly serve nearby Chapel Hill, Research Triangle Park, Raleigh and Cary. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Duke Chapel, Nasher Museum of Art, Museum of Life and Science, American Tobacco Historic District, Durham Bulls Athletic Park and Bennett Place.
Durham has hot, humid summers with frequent thunderstorms, mild springs and falls, and winters that bring only a few inches of snow that melts quickly. Spring pollen is heavy, which matters for anyone who spends time outdoors. The Durham Freeway, Interstate 40 and US 70 carry most travel, and GoDurham runs local buses. Housing ranges from early twentieth-century homes near downtown to apartments in converted tobacco buildings and newer southern Durham subdivisions, so entrances and stairs vary widely.
The state roster dated October 6, 2026 lists 159 agencies in Durham with an active North Carolina license. Agencies based in nearby towns may also serve Durham.
Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.
Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.
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