SCHome Care Lookup

Home Care Agencies in Charleston County, SC

Charleston County has 89 in-home care providers and 12 home health agencies with a licensed office in the county, based on SC DPH license records retrieved Sept. 27, 2026. The list includes Mount Pleasant and North Charleston offices. Confirm the license on SC DPH's Find a Facility map, then compare payers, services, hours and service area.

Agencies are listed alphabetically from public license records. The office county is the address on the license, not necessarily the service area.

The office county is the address on the license. It is not necessarily the service area.

Cities

Agencies

Medicaid waiver (CLTC Group) data covers all 46 South Carolina counties. About the waiver data.

How to choose a home care agency in Charleston County

In-home care vs. home health: what's the difference

An in-home care provider gives non-medical help. SC DPH's licensing rule defines in-home care as help with daily activities such as bathing, dressing, eating and getting in and out of bed, "not including skilled care." A home health agency provides skilled care, including part-time or intermittent nursing ordered by a physician or other authorized provider. Medicare covers home health only for people who are homebound and need part-time or intermittent skilled care; it does not cover "24-hour-a-day care at your home" or custodial care "when this is the only care you need." Sources: SC DPH Regulation 60-122; SC DPH Regulation 61-77; Medicare: Home health services.

Licensed offices on this page include Charleston (30), Mount Pleasant (22, plus 1 listed as "Mt Pleasant"), North Charleston (44, plus 2 listed as "N Charleston") and Johns Island (2).

Personal care and homemaker services

SCDHHS describes personal care as help with activities such as bathing, dressing, preparing meals, general housekeeping and observing health status. The VA describes a homemaker or home health aide as "a trained person who can come to a Veterans home and help the Veteran take care of themselves and their daily activities." Ask each agency which of these services it offers.

A neutral checklist

  • License: confirm it on SC DPH's Find a Facility map, which lists DPH-licensed in-home care providers and home health agencies. (SC DPH was formerly part of DHEC.)
  • Service area: the office county on a license is not necessarily the service area. Ask whether the agency serves your address.
  • Services and minimum hours per visit or per week.
  • Caregivers: how they are screened, trained and supervised.
  • Backup: what happens if a caregiver is out.
  • Paperwork: a written care plan and a written service agreement.
  • Payment: which payers the agency accepts (Medicaid waiver, VA, long-term care insurance, Medicare for home health, private pay).
  • Complaints: how they are handled, and who to contact.
  • Home health only: Medicare's Care Compare shows quality data where available; star ratings in this directory come only from CMS Care Compare (see About and data sources).

Questions to ask on the first call

Do you serve my address? What services do you provide, and what is your minimum number of hours? Who supervises caregivers? What happens if my caregiver can't come? Which payers do you accept, and will you give me your rates in writing? How do I raise a concern?

Paying for home care in South Carolina

Medicaid: home and community-based waivers

SCDHHS's Community Long Term Care (CLTC) division runs Medicaid waivers for people who are eligible for nursing home care but prefer services at home: Community Choices, HIV/AIDS, Mechanical Ventilator Dependent and Medically Complex Children. SCDHHS says the Community Choices waiver serves "the frail elderly (age 65 and older) as well as persons with physical disabilities (ages 18-64) who meet nursing facility level of care criteria." SCDHHS decides both parts of eligibility: whether the person needs nursing-facility level of care (a CLTC determination) and whether they are financially eligible for Medicaid. Ask any agency you're considering whether it is enrolled with SCDHHS to provide waiver services. Start with Centralized Intake at (888) 971-1637 or your county's CLTC office (below). Sources: SCDHHS Waivers; Community Choices waiver; CLTC office addresses.

SCDHHS lists the Medically Complex Children waiver for children from birth to 21 (Waiver Summary Chart).

The directory's "Medicaid waiver" filter marks only licenses that uniquely match an SCDHHS CLTC Group record, so an agency without the flag may still take part (see About: Medicaid waiver coverage).

VA benefits

The VA's Homemaker and Home Health Aide program is for Veterans who need personal care and help with daily activities. The VA says "all enrolled Veterans are eligible" if they are eligible for community care, meet the clinical criteria and the service is available. A copay may apply. The aides work for organizations that contract with the VA. Separately, VA Aid and Attendance or Housebound benefits "provide monthly payments added to the amount of a monthly VA pension" for qualified Veterans and survivors. For help applying, find your county Veterans Affairs office through the SC Department of Veterans' Affairs. Sources: VA Homemaker and Home Health Aide Care; VA Aid and Attendance and Housebound; SC Department of Veterans' Affairs.

Long-term care insurance

The SC Department of Insurance says long-term care services "may include help with daily activities, home health care, respite care" and other care. Before buying a policy, it advises comparing "benefits, the types of facilities covered, limits on your coverage, what is not covered, and the premium." If you already have a policy, ask the insurer what it requires of a home care agency (for example, a state license) before you hire one. Source: SC Department of Insurance: Long-Term Care Insurance.

Private pay

Rates vary by agency, hours and level of care. Ask several agencies for written quotes for the same schedule.

Medicare

Medicare covers part-time or intermittent skilled home health care for people who are homebound. It doesn't cover 24-hour care at home or custodial care when that is the only care needed. Source: Medicare: Home health services.

Official resources for Charleston County

  • Area Agency on Aging: Trident Area Agency on Aging (Region 9), serving Berkeley, Charleston and Dorchester counties. Phone 843-554-2275. Sources: GetCareSC Area Agencies on Aging; SC Department on Aging Staff and Partners / Regional Plans.
  • SCDHHS Community Long Term Care office: Area 10 – Charleston, 4130 Faber Place Dr., Suite 300, North Charleston, SC 29405. Telephone (843) 529-0142. Counties: Berkeley, Charleston, Dorchester. Source: SCDHHS CLTC Addresses.
  • VA: the Ralph H. Johnson VA Medical Center, 109 Bee Street, Charleston, part of VA Charleston health care, which also lists Mount Pleasant and North Charleston VA clinics (va.gov).
  • County Veterans Affairs office: listed through the SC Department of Veterans' Affairs.

Neighboring county hubs: Berkeley County and Dorchester County.

Counts come from SC DPH license records retrieved Sept. 27, 2026; see About and data sources. Listings are public license records, not endorsements.

Frequently asked questions — Charleston County

Who provides in-home care in Charleston, SC?

This directory lists 89 in-home care providers and 12 home health agencies with a licensed office in Charleston County, from SC DPH license records retrieved Sept. 27, 2026, in alphabetical order. An office in the county does not mean the agency serves your address, so ask each one.

What's the difference between home care and home health care in Charleston?

An in-home care provider gives non-medical help. SC DPH's licensing rule defines in-home care as help with daily activities such as bathing, dressing, eating and getting in and out of bed, "not including skilled care." A home health agency provides skilled care, including part-time or intermittent nursing ordered by a physician or other authorized provider.

Are there home care options in Mount Pleasant and North Charleston?

Yes. The directory lists 22 licensed agencies with an office in Mount Pleasant (plus 1 listed as Mt Pleasant) and 44 in North Charleston (plus 2 listed as N Charleston). Use the city links or the search box to narrow the list, then confirm each agency's service area.

How do I find Medicaid (CLTC/MCC waiver) home care providers in Charleston?

SCDHHS runs Medicaid home and community-based waivers, including the Medically Complex Children (MCC) waiver for children from birth to 21. Contact the SCDHHS Community Long Term Care office for Charleston County (Area 10, (843) 529-0142) or Centralized Intake at (888) 971-1637. The directory's Medicaid waiver filter marks only licenses matched to SCDHHS records, so it is not a complete list.

What are personal care and homemaker services?

SCDHHS describes personal care as help with activities such as bathing, dressing, preparing meals, general housekeeping and observing health status. The VA describes a homemaker or home health aide as "a trained person who can come to a Veterans home and help the Veteran take care of themselves and their daily activities." Ask each agency which of these services it offers.