In-Home Support for Adults With Disabilities in Leland, NC
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 Leland for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Leland, NC: the local picture
About 1,186 Leland residents aged 18 to 64 report a disability (7.3%; 12% in Brunswick County).
363 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
1.9% of Leland households have no vehicle (2.4% in Brunswick County); say in your posting if you need a caregiver who drives.
Leland compared with Brunswick County and North Carolina
| Census figure | Leland | Brunswick County | North Carolina |
|---|---|---|---|
| Residents 18 to 64 with a disability | 7.3% | 12% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 2.2% | 3.9% | 3.9% |
| Households with no vehicle | 1.9% | 2.4% | 5.3% |
| Residents 5+ who speak a language other than English at home | 5.2% | 5.0% | 13% |
| Residents 65+ with a disability | 22% | 24% | 33% |
| Residents 65+ below the poverty line (approx.) | 3.4% | 5.7% | 11% |
| Median income, households headed by someone 65+ | $82,450 | $69,925 | — |
Older residents in towns around Leland
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Belville, NC | 2.5 mi | 476 | 8.0% |
| Wrightsboro, NC | 8.2 mi | 1,054 | 17% |
| Wilmington, NC | 9.0 mi | 22,030 | 10% |
| Silver Lake, NC | 9.1 mi | 1,396 | 12% |
| Myrtle Grove, NC | 11 mi | 2,200 | 11% |
| Skippers Corner, NC | 11 mi | 682 | 9.3% |
Home health agencies serving Leland
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Pruitthealth At Home - Brunswick | Leland, NC | 3.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 473-5104 |
| Well Care Home Health | Wilmington, NC | 9.0 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 362-9405 |
| Centerwell Home Health | Delco, NC | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | — |
| Assistedcare Home Health Inc | Leland, NC | 3.8 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (225) 299-3990 |
| Liberty Home Care, LLC | Wilmington, NC | 9.0 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 251-8111 |
Straight-line miles from the center of Leland. 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 Leland
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 19% of the $6,871 monthly median income of Leland 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.
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 Leland: common questions
How much does disability care for adults cost in Leland?
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 19% of the $6,871 monthly median income of Leland 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 senior care near Leland
Disability Care for Adults in nearby cities
- Disability Care for Adults in Belville, NC
- Disability Care for Adults in Wrightsboro, NC
- Disability Care for Adults in Wilmington, NC
- Disability Care for Adults in Silver Lake, NC
- Disability Care for Adults in Myrtle Grove, NC
- Disability Care for Adults in Skippers Corner, NC
- Disability Care for Adults in Kings Grant, NC
- Disability Care for Adults in Northchase, NC
- Disability Care for Adults in Boiling Spring Lakes, NC
- Disability Care for Adults in Murraysville, NC
- Disability Care for Adults in Wrightsville Beach, NC
- Disability Care for Adults in Carolina Beach, NC
- Disability Care for Adults in Bayshore, NC
- Disability Care for Adults in Ogden, NC
- Disability Care for Adults in Porters Neck, NC
- Disability Care for Adults in St. James, NC
Other care in Leland
- Companion Care in Leland
- Dementia Care in Leland
- Respite Care in Leland
- Live-In Caregivers in Leland
- Post-Surgery Care in Leland
- Senior Transportation in Leland
- Home Health Aides in Leland
- Nursing Assistants in Leland
- Personal Care in Leland
- Overnight Caregivers in Leland
- 24-Hour Home Care in Leland
- Mobility Assistance in Leland
- Parkinson’s Care in Leland
- Stroke Recovery Support in Leland
- Hospice Support in Leland
- Senior Meal Preparation in Leland
- Senior Housekeeping in Leland
- Medication Reminders in Leland
- Veterans’ Home Care in Leland
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 Leland
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