Home Health Aides in James City, NC
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in James City for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in James City, NC: the local picture
8 Medicare-certified home health agencies list James City ZIP codes in their service area; the highest-rated are below, and 6 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in North Carolina earn a median $15.02 an hour (BLS, May 2025), with the middle half between $13.65 and $17.08.
James City has about 1,302 residents aged 65 or older, 35% of whom report a disability.
James City compared with Craven County and North Carolina
| Census figure | James City | Craven County | North Carolina |
|---|---|---|---|
| Residents 65+ with a disability | 35% | 33% | 33% |
| Residents 65 or older | 27% | 21% | 17% |
| Residents 85 or older | 2.7% | 2.2% | 1.7% |
| Residents 65+ in households who live alone | 27% | 28% | 28% |
| Residents 65+ below the poverty line (approx.) | 8.3% | 9.7% | 11% |
| Residents 5+ who speak a language other than English at home | 2.2% | 8.0% | 13% |
| Median income, households headed by someone 65+ | $54,441 | $54,077 | — |
Older residents in towns around James City
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Fairfield Harbour, NC | 2.8 mi | 1,270 | 25% |
| Brices Creek, NC | 4.8 mi | 991 | 33% |
| New Bern, NC | 5.5 mi | 8,036 | 31% |
| Trent Woods, NC | 5.9 mi | 1,424 | 23% |
| Neuse Forest, NC | 6.3 mi | 500 | 24% |
| River Bend, NC | 8.7 mi | 941 | 24% |
Medicare-certified 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 |
| Centerwell Home Health | Rocky Mount, NC | 81 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Bayada Home Health Care Inc | Greenville, NC | 46 mi | 3.5 of 5 | — | (252) 214-6814 |
| 3HC | Goldsboro, NC | 57 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
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 a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides 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.
What to know before hiring a home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in James City: common questions
Which home health agencies serve James City?
Medicare lists 8 certified agencies whose service area includes James City ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (4.5 of 5), Centerwell Home Health (4.5 of 5), Pruitthealth Home Health New Bern (4 of 5). Compare them on Medicare Care Compare.
How much does home health aides 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).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near James City
Home Health Aides in nearby cities
- Home Health Aides in Fairfield Harbour, NC
- Home Health Aides in Brices Creek, NC
- Home Health Aides in New Bern, NC
- Home Health Aides in Trent Woods, NC
- Home Health Aides in Neuse Forest, NC
- Home Health Aides in River Bend, NC
- Home Health Aides in Havelock, NC
- Home Health Aides in Newport, NC
- Home Health Aides in Cape Carteret, NC
- Home Health Aides in Swansboro, NC
- Home Health Aides in Piney Green, NC
- Home Health Aides in Emerald Isle, NC
- Home Health Aides in Morehead City, NC
- Home Health Aides in Beaufort, NC
- Home Health Aides in Half Moon, NC
- Home Health Aides in Jacksonville, NC
Other care in James City
- Companion Care in James City
- Dementia Care in James City
- Respite Care in James City
- Live-In Caregivers in James City
- Post-Surgery Care in James City
- Senior Transportation in James City
- Nursing Assistants in James City
- Personal Care in James City
- Overnight Caregivers in James City
- 24-Hour Home Care in James City
- Mobility Assistance in James City
- Parkinson’s Care in James City
- Stroke Recovery Support in James City
- Disability Care for Adults in James City
- Hospice Support in James City
- Senior Meal Preparation in James City
- Senior Housekeeping in James City
- Medication Reminders in James City
- Veterans’ Home Care in James 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.
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