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The 8 Best In-Home Care Agencies in Raleigh, NC

The 8 top-ranked in-home care agencies serving Raleigh, 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. Right at Home Wake County ranks first with 4.7 stars from 52 reviews.

Updated November 2026 · Data: state license rosters, checked October 6, 2026 · How we list agencies

8 top-ranked agencies · by Care Close to Home Score
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These are the top 8, ranked by the Care Close to Home Score. 305 other licensed agencies serve Raleigh, NC and are not listed. How we rank

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Nearby in-home care

Guides for families

Cost of care in North Carolina

Median hourly rate$30
20 hrs / week$2,600/mo
40 hrs / week$5,200/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in North Carolina

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Licensed in-home care in Raleigh, NC: how to compare agencies

We ranked the top eight in-home care agencies serving Raleigh, 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 305 licensed agencies serving Raleigh, 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 313 agencies on this list are based in 15 ZIP codes; the busiest are 27609 (96 agencies), 27615 (53 agencies) and 27616 (31 agencies). By license type: Home Care Agency (In-Home Aide, Companion, Sitter and Respite) (296), Home Care Agency (Companion, Sitter and Respite) (13) and Home Care Agency (In-Home Aide) (4). If Raleigh has too few choices for your needs, the closest other cities we list are Knightdale (19 agencies, about 8 miles away), Rolesville (5 agencies, about 10 miles away) and Cary (41 agencies, about 10 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

More in-home care listings in North Carolina

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in Eden 9 licensedIn-home care in Edenton 8 licensedIn-home care in Elizabeth City 15 licensedIn-home care in Elizabethtown 9 licensedIn-home care in Erwin 7 licensedIn-home care in Farmville 8 licensedIn-home care in Fayetteville 9 licensedIn-home care in Flat Rock 3 licensedIn-home care in Fletcher 5 licensedIn-home care in Forest City 9 licensedIn-home care in Franklin 6 licensedIn-home care in Franklinton 9 licensedIn-home care in Fuquay-Varina 7 licensedIn-home care in Garner 6 licensedIn-home care in Gastonia 9 licensedIn-home care in Goldsboro 7 licensedIn-home care in Graham 9 licensedIn-home care in Greensboro 9 licensedIn-home care in Greenville 8 licensedIn-home care in Hamlet 4 licensedIn-home care in Hampstead 9 licensedIn-home care in Harrisburg 6 licensedIn-home care in Havelock 8 licensedIn-home care in Hayesville 3 licensedIn-home care in Henderson 9 licensedIn-home care in Hendersonville 10 licensedIn-home care in Hickory 9 licensedIn-home care in High Point 8 licensedIn-home care in Holly Springs 9 licensedIn-home care in Hope Mills 8 licensedIn-home care in Huntersville 6 licensedIn-home care in Indian Trail 9 licensedIn-home care in Jacksonville 9 licensedIn-home care in Jamestown 9 licensedIn-home care in Kannapolis 9 licensedIn-home care in Kenansville 9 licensedIn-home care in Kernersville 9 licensedIn-home care in Kings Mountain 9 licensedIn-home care in Kinston 8 licensedIn-home care in Knightdale 6 licensedIn-home care in Laurinburg 17 licensedIn-home care in Leland 9 licensedIn-home care in Lenoir 6 licensedIn-home care in Lexington 9 licensedIn-home care in Lincolnton 9 licensedIn-home care in Louisburg 9 licensedIn-home care in Lumberton 21 licensedIn-home care in Marion 9 licensedIn-home care in Matthews 9 licensedIn-home care in Maxton 9 licensedIn-home care in Mebane 7 licensedIn-home care in Mint Hill 9 licensedIn-home care in Monroe 9 licensedIn-home care in Mooresville 9 licensedIn-home care in Morehead City 7 licensedIn-home care in Morganton 9 licensedIn-home care in Morrisville 9 licensedIn-home care in Mount Airy 5 licensedIn-home care in Mount Holly 9 licensedIn-home care in New Bern 8 licensedIn-home care in Newton 9 licensedIn-home care in North Wilkesboro 5 licensedIn-home care in Oxford 9 licensedIn-home care in Pembroke 20 licensedIn-home care in Pinehurst 9 licensedIn-home care in Pineville 9 licensedIn-home care in Pittsboro 9 licensedIn-home care in Plymouth 8 licensedIn-home care in Raeford 9 licensedIn-home care in Red Springs 7 licensedIn-home care in Reidsville 5 licensedIn-home care in Roanoke Rapids 9 licensedIn-home care in Rockingham 9 licensedIn-home care in Rocky Mount 9 licensedIn-home care in Rolesville 9 licensedIn-home care in Roxboro 9 licensedIn-home care in Saint Pauls 7 licensedIn-home care in Salisbury 5 licensedIn-home care in Sanford 7 licensedIn-home care in Selma 6 licensedIn-home care in Shallotte 9 licensedIn-home care in Shelby 9 licensedIn-home care in Siler City 9 licensedIn-home care in Smithfield 6 licensedIn-home care in Snow Hill 8 licensedIn-home care in Southern Pines 9 licensedIn-home care in Southport 9 licensedIn-home care in Sparta 9 licensedIn-home care in Spruce Pine 3 licensedIn-home care in Statesville 5 licensedIn-home care in Supply 9 licensedIn-home care in Sylva 3 licensedIn-home care in Tarboro 8 licensedIn-home care in Thomasville 9 licensedIn-home care in Wadesboro 9 licensedIn-home care in Wake Forest 6 licensedIn-home care in Washington 8 licensedIn-home care in Waxhaw 9 licensedIn-home care in Waynesville 6 licensedIn-home care in Weldon 9 licensedIn-home care in Wendell 9 licensedIn-home care in West End 9 licensedIn-home care in West Jefferson 5 licensedIn-home care in Whiteville 9 licensedIn-home care in Wilkesboro 5 licensedIn-home care in Williamston 8 licensedIn-home care in Wilmington 9 licensedIn-home care in Wilson 9 licensedIn-home care in Windsor 8 licensedIn-home care in Winston-Salem 5 licensedIn-home care in Winterville 8 licensedIn-home care in Youngsville 9 licensedIn-home care in Zebulon 8 licensedAll North Carolina in-home care listings →

Aging at home in Raleigh

Raleigh is North Carolina's capital and a fast-growing city of nearly 500,000, with about one in eight residents 65 or older. Older adults here may live in the historic homes of Oakwood and Hayes Barton, in mid-century neighborhoods inside the Beltline, or in newer subdivisions in North Raleigh. As part of the Research Triangle, the city draws families who relocate for work, so many families are newcomers, and dependable local support at home becomes a practical priority.

12.5% of residents are 65 or older. Source: ACS 2024 1-year estimate for Raleigh city, via Census Reporter.

Neighborhoods and nearby towns

In Raleigh, families ask about care in Historic Oakwood, Hayes Barton, Five Points, Boylan Heights, Glenwood South, North Hills, Moore Square and North Ridge.

Historic OakwoodHayes BartonFive PointsBoylan HeightsGlenwood SouthNorth HillsMoore SquareNorth Ridge

Agencies listed here also commonly serve nearby Cary, Garner, Wake Forest, Knightdale, Apex, Durham, Morrisville and Holly Springs. Confirm each agency's service area before you sign.

Familiar places in Raleigh

Care that fits the routines of home often means getting to the places that matter: North Carolina State Capitol, North Carolina Museum of Art, North Carolina Museum of Natural Sciences, Pullen Park, William B. Umstead State Park and City Market.

Planning care in Raleigh

Raleigh summers are hot and humid, with about 48 days a year at or above 90 degrees, and most winters bring some freezing rain or sleet. Past hurricanes such as Fran and Florence have brought downed trees and power outages, so families often plan ahead for storm season. GoRaleigh runs 33 bus routes and the city maintains 78 miles of greenway, but most households drive on I-40, I-440 and the toll road around the edges, so check how far a caregiver travels from your area.

Local resources

  • After a hospital stay. If a family member is discharged from UNC Health Rex Hospital, WakeMed and Duke Raleigh Hospital, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Free help for families in Raleigh

  • Area Agency on Aging: Central Pines Area Agency on Aging (Central Pines Regional Council), (800) 310-9777. Free advice on in-home services, meals, respite and programs that help pay, for anyone 60 or older and their families.
  • Medicaid help at home: Community Alternatives Program for Disabled Adults (CAP/DA). An NC Medicaid program for adults 18 and older at risk of institutional care who want to stay in their own homes rather than move to a nursing home.
  • Coming home from the hospital: if your family member is being discharged from WakeMed and Duke Raleigh Hospital (Duke Health) or another Raleigh hospital, ask the discharge planner to send the referral to an agency you choose from this list. You have the right to pick the agency.

Phone numbers and programs checked against official sources in October 2026. Call ahead, as hours and programs change.

Questions Raleigh families ask

How many licensed in-home care agencies are there in Raleigh?

The state roster dated October 6, 2026 lists 313 agencies in Raleigh with an active North Carolina license. Agencies based in nearby towns may also serve Raleigh.

How do I choose an in-home care agency in Raleigh?

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.

How are these agencies ranked?

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.

How do families pay for in-home care in Raleigh?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

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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