In-Home Support for Adults With Disabilities in Alexander City, AL
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Alexander City for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Alexander City, AL: the local picture
About 1,475 Alexander City residents aged 18 to 64 report a disability (19%; 18% in Tallapoosa County).
454 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
8.7% of Alexander City households have no vehicle (5.8% in Tallapoosa County); say in your posting if you need a caregiver who drives.
Alexander City compared with Tallapoosa County and Alabama
| Census figure | Alexander City | Tallapoosa County | Alabama |
|---|---|---|---|
| Residents 18 to 64 with a disability | 19% | 18% | 14% |
| Residents 18 to 64 with difficulty doing errands alone | 5.9% | 6.7% | 5.0% |
| Households with no vehicle | 8.7% | 5.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 7.2% | 3.8% | 6.0% |
| Residents 65+ with a disability | 41% | 45% | 38% |
| Residents 65+ below the poverty line (approx.) | 18% | 14% | 12% |
| Median income, households headed by someone 65+ | $29,666 | $43,613 | — |
Older residents in towns around Alexander City
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Dadeville, AL | 11 mi | 549 | 16% |
| Tallassee, AL | 27 mi | 1,084 | 14% |
| Sylacauga, AL | 27 mi | 2,438 | 16% |
| Lineville, AL | 29 mi | 686 | 30% |
| Holtville, AL | 30 mi | 697 | 15% |
| Wetumpka, AL | 30 mi | 1,134 | 6.6% |
Home health agencies serving Alexander City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Sylacauga, AL | 26 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 249-4363 |
| Amedisys Home Health Of Anniston | Anniston, AL | 57 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 820-2503 |
| Prohealth Home Health | Auburn, AL | 38 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (334) 521-8810 |
| Enhabit Home Health | Hoover, AL | 59 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 824-2680 |
| Enhabit Home Health | Troy, AL | 80 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (334) 566-9238 |
Straight-line miles from the center of Alexander City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Alexander City
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 47% of the $2,472 monthly median income of Alexander City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Alexander City: common questions
How much does disability care for adults cost in Alexander City?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 47% of the $2,472 monthly median income of Alexander City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Alabama.
More senior care near Alexander City
Disability Care for Adults in nearby cities
- Disability Care for Adults in Dadeville, AL
- Disability Care for Adults in Tallassee, AL
- Disability Care for Adults in Sylacauga, AL
- Disability Care for Adults in Lineville, AL
- Disability Care for Adults in Holtville, AL
- Disability Care for Adults in Wetumpka, AL
- Disability Care for Adults in La Fayette, AL
- Disability Care for Adults in Redland, AL
- Disability Care for Adults in Auburn, AL
- Disability Care for Adults in Emerald Mountain, AL
- Disability Care for Adults in Childersburg, AL
- Disability Care for Adults in Roanoke, AL
- Disability Care for Adults in Talladega, AL
- Disability Care for Adults in Opelika, AL
- Disability Care for Adults in Tuskegee, AL
- Disability Care for Adults in Pine Level, AL
Other care in Alexander City
- Companion Care in Alexander City
- Dementia Care in Alexander City
- Respite Care in Alexander City
- Live-In Caregivers in Alexander City
- Post-Surgery Care in Alexander City
- Senior Transportation in Alexander City
- Home Health Aides in Alexander City
- Nursing Assistants in Alexander City
- Personal Care in Alexander City
- Overnight Caregivers in Alexander City
- 24-Hour Home Care in Alexander City
- Mobility Assistance in Alexander City
- Parkinson’s Care in Alexander City
- Stroke Recovery Support in Alexander City
- Hospice Support in Alexander City
- Senior Meal Preparation in Alexander City
- Senior Housekeeping in Alexander City
- Medication Reminders in Alexander City
- Veterans’ Home Care in Alexander City
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Alexander City
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