Adult Disability Care in James City, NC: In-Home Support

Local figures

Disability Care for Adults in James City, NC: the local picture

20%

of residents aged 18 to 64 have a disability (14% in Craven County)

218

residents aged 18 to 64 have difficulty doing errands alone

2.0%

of households have no vehicle (6.3% in Craven County)

8

Medicare-certified home health agencies list James City ZIP codes in their service area

About 521 James City residents aged 18 to 64 report a disability (20%; 14% in Craven County).

218 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

2.0% of James City households have no vehicle (6.3% in Craven County); say in your posting if you need a caregiver who drives.

James City compared with Craven County and North Carolina

Census figure	James City	Craven County	North Carolina
Residents 18 to 64 with a disability	20%	14%	11%
Residents 18 to 64 with difficulty doing errands alone	8.2%	5.5%	3.9%
Households with no vehicle	2.0%	6.3%	5.3%
Residents 5+ who speak a language other than English at home	2.2%	8.0%	13%
Residents 65+ with a disability	35%	33%	33%
Residents 65+ below the poverty line (approx.)	8.3%	9.7%	11%
Median income, households headed by someone 65+	$54,441	$54,077	—

Older residents in towns around James City

Town	Distance	Residents 65+	Disability (18 to 64)
Fairfield Harbour, NC	2.8 mi	1,270	13%
Brices Creek, NC	4.8 mi	991	14%
New Bern, NC	5.5 mi	8,036	13%
Trent Woods, NC	5.9 mi	1,424	6.9%
Neuse Forest, NC	6.3 mi	500	15%
River Bend, NC	8.7 mi	941	18%

Home health agencies serving James City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Pollocksville, NC	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Centerwell Home Health	Washington, NC	38 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(252) 946-7145
Pruitthealth Home Health New Bern	New Bern, NC	5.2 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work	(252) 514-6016
Centerwell Home Health	Morehead City, NC	26 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Amedisys Home Health	Snow Hill, NC	48 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 332-2346

Straight-line miles from the center of James City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in James City

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 29% of the $4,537 monthly median income of James City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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.

Before you hire

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.

Questions

Disability Care for Adults in James City: common questions

How much does disability care for adults cost in James City?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 29% of the $4,537 monthly median income of James City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 North Carolina.

More near James City

More senior care near James City

Disability Care for Adults in nearby cities

Other care in James City

More for James City families

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.

In-Home Support for Adults With Disabilities in James City, NC