Resource Guide
Find Services in Your County
Find services and programs available in your county. Whether you’re seeking health and wellness support or curious about available older adult services in the High Country, these trusted resources connect you to the information and assistance you need.
This guide focuses on locally available resources for older adults and caregivers. Services and products that do not align with this goal will not be listed.
Regional Resources
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Alleghany Council on Aging
30 Wellness Way | PO Box 416, Sparta, NC 28675In-home aide, congregate and home-delivered meals, health promotion, transportation and SHIIP Medicare counseling.
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Generations Ashe
80 Chatty Rob Lane, West Jefferson, NC 28694In-home aide, congregate and home-delivered meals, adult day care, health promotion, transportation and SHIIP Medicare counseling.
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Avery Senior Services
8060 N US Hwy 19E, Elk Park, NC 28622 | PO Box 447, Newland, NC 28657In-home aide, congregate and home-delivered meals, health promotion, transportation and SHIIP Medicare counseling.
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Mitchell Senior Center
152 Ledger School Rd., Bakersville, NC 28705In-home aide, congregate and home-delivered meals, health promotion, transportation and SHIIP Medicare counseling.
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Watauga County Project on Aging
132 Poplar Grove Connector, Suite A, Boone, NC 28607In-home aide, congregate and home-delivered meals, health promotion, transportation and SHIIP Medicare counseling.
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Blue Ridge Opportunity Commission (BROC)
Congregate and home-delivered meals, plus housing and home improvement.
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Ruby Pardue Blackburn Adult Day Health Care Center
In-home aide services from North Wilkesboro.
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Wilkes Senior Resources
228 Fairplains School Rd. | PO Box 1601, North Wilkesboro, NC 28659In-home aide, health promotion, transportation and SHIIP Medicare counseling.
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Yancey County Senior Center
503 Medical Campus Dr., Burnsville, NC 28714In-home aide, congregate and home-delivered meals, health promotion, transportation and SHIIP Medicare counseling.
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Legal Aid of North Carolina – Senior Legal Helpline
Free civil legal help for North Carolinians age 60 and older: advice, document review and advocacy. Monday–Friday, 9–11 a.m. and 1–3 p.m. Under 60? Call Legal Aid of NC at 1-866-219-5262 or visit legalaidnc.org.
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Seniors’ Health Insurance Information Program (SHIIP)
Free, unbiased one-on-one Medicare counseling: enrollment, plan comparison, Medigap and cost-saving programs.
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North Carolina Senior Medicare Patrol (SMP)
Help preventing, detecting and reporting Medicare fraud, waste and abuse.
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Daymark Recovery Services
24-hour crisis hotline plus outpatient and psychiatric care using evidence-based, individualized treatment.
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Vaya Health
Confidential 24/7 support, including crisis intervention and assessments for western North Carolina residents.
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NAMI High Country
Local support, education and advocacy for people affected by mental illness and their families.
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Home Modification for Falls Prevention
Free home safety assessments and low-cost, high-impact modifications that reduce the risk of falls.
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Digital Navigation
One-on-one help and community training for older adults learning smartphones, tablets and the internet.
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Pisgah Legal Services
Free civil legal aid for western NC, including Avery, Mitchell, and Yancey counties, for urgent needs such as housing, domestic violence, family law, elder law, consumer law, public benefits, etc.
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Healthy Aging NC
Fall prevention resource hub to find classes across North Carolina.
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Northwestern Regional Housing Authority
869 Hwy. 105 Extension | P.O. Box 2510, Boone, NC 28607Programs include Section 8 housing choice vouchers, with emergency and community support services to eligible low-income families, older adults, and people living with disabilities.
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Hospitality House of Northwest North Carolina
160 Den-Mac Drive | PO Box 309, Boone, NC, 28607Provides housing, shelter, food access, homeless prevention, street outreach, counseling, medical care, and crisis assistance in (Watauga, Wilkes, Ashe, Avery, Alleghany, Mitchell, and Yancey counties.
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NC Low Income Energy Assistance Program (LIEAP)
One-time vendor payment to help eligible households pay their heating bills.
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More Food in My Basket (NCSU Cooperative Extension)
Provides food security education and SNAP application assistance for NC residents.
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Hunger and Health Coalition
Services include food pantry, food recovery kitchen, mobile delivery, backpack program, wood lot, pharmacy, food is medicine program, community care clinic, and community resources.
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Library of North Carolina’s Accessible Books and Library Services
Library of North Carolina's Accessible Books and Library Services (ABLS) is a free, convenient library service for North Carolinians who are unable to read standard print due to low vision, blindness, or a physical, perceptual, or reading disability.
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CaptionCall
CaptionCall provides no-cost, real-time captioning services for telephone conversations for deaf or hard of hearing individuals.
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NC 211
Dial 2-1-1 or (888) 892-1162. Free, confidential information and referral service connecting North Carolinians to verified resources for basic needs, such as housing and utility assistance, food, healthcare, transportation, and more.
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High Country United Way
Connect Avery, Ashe, Watauga, Mitchell, and Yancey residents to resources supporting healthy communities, financial security, youth opportunity, and community resiliency.
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On Track Financial Education & Counseling
Services include education/counseling on budgeting, money management, avoiding bankruptcy, reverse mortgages, and debt collection.
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NC Works
Helps individuals find jobs in NC, including resume assistance, education and training, and unemployment information.
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Alleghany County Public Library
115 Atwood St, Sparta, NC 28675 -
Alleghany County Department of Social Services
182 Doctors Street | PO Box 247, Sparta, NC 28675Services: in-home aide, blind, guardianship, food & nutrition, heating/cooling, Medicaid, Medicaid Transportation, Community Alternative Programs (CAP) and Long-Term Care (LTC).
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Alleghany Veterans Service Office
348 South Main Street, Office 100 | PO Box 366, Sparta, NC 28675 -
Alleghany in Motion
90 South Main Street | PO Box 1882, Sparta, NC 28675Transportation within and to destinations beyond Alleghany County including older adult, disability, general public, and medical transportation.
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Solid Rock Food Closet
71 Womble Street | PO Box 955, Sparta, NC 28675Several programs focused on nutrition and food distribution in Alleghany County.
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Alleghany County Health Department / Alleghany Health Center
157 Health Services Rd, Sparta, NC 28675Clinical, environmental health, community health, dental, and preparedness services.
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Alleghany Health
233 Doctors St, Sparta, NC 28675Inpatient and outpatient hospital services, including a 24-hour physician-staffed emergency department.
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Lotus Village Health and Rehabilitation
179 Combs Street, Sparta, NC 28675Facility type: Skilled nursing.
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The Landings of Chestnut Grove
158 Chestnut Grove Church Rd, Sparta, NC 28675Facility type: Adult care home. Memory care unit: No.
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Medi Home Health & Hospice – Sparta
403 S Main Street #101, Sparta, NC 28675Home health and attendant care, skilled nursing care, medical transportation, bereavement services, emotional support.
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Ashe Home Care
1646 Mount Jefferson Rd. West Jefferson, NC 28694Nurse-directed care including in-home, respite, and dementia care in Ashe, Watauga, Alleghany, and Wilkes counties.
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Alleghany CARES
25 Womble Street | PO Box 1655, Sparta, NC 28675Provides emergency assistance to referred individuals including gasoline vouchers, educational scholarships, dental assistance, hearing need assistance, vision assistance, and medication assistance.
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Daymark Recovery Services – Sparta
1650 Highway 18 South, Sparta, NC 28675Mental health, developmental disabilities, substance abuse services, parenting information.
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NRHA Alleghany County Field Office – Highland Village
29 Highland Village Circle, Sparta, NC 28675Local office of the Northwestern Regional Housing Authority.
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Blue Ridge Opportunity Commission (BROC) – Alleghany Office
36 Evergreen Street, Sparta, NC 28675Provides weatherization, heating appliance repair/replacement, emergency assistance, family self-sufficiency, and Head Start to Alleghany, Ashe, and Wilkes counties.
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Ashe County Public Library
148 Library Road, West Jefferson, NC 28694 -
Ashe County Department of Social Services
150 Government Circle, Suite 1400, Jefferson, NC, USA -
Ashe County Veterans Services
150 Government Circle, Suite 2100, Jefferson, NC, USA -
Ashe County Transportation Authority (ACTA)
895 Ray Taylor Road | PO Box 1836, West Jefferson, NC 28694Transportation within and to destinations beyond Ashe County including older adult, disability, general public, and airport services.
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Ashe Food Pantry
115 Colvard Street Jefferson, NC 28640Multiple food pantries throughout Ashe County, as well as SNAP application assistance, health fairs, food boxes, hygiene backpacks, etc.
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Todd’s Table
Non-profit providing a food pantry, pop-up farm stand, and community garden.
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Ashe Memorial Hospital
200 Hospital Ave, Jefferson, NC 28640 -
Mountain Hearts Wellness Center
200 Hospital Avenue, Jefferson, NC 28640 -
Ashe County Health Department / Ashe Health Center
413 McConnell Street, Jefferson, NC 28640Clinical, environmental health, community health, dental, and preparedness services.
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Ashe Medication Assistance Program
225 Court Street, Jefferson, NC 28640 -
Ashe County Habitat for Humanity
505 S. Jefferson Avenue, West Jefferson, NC 28694Building safe, affordable housing for families in need.
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Margate Health & Rehabilitation
540 Waugh Street, Jefferson, NC 28640Facility type: Skilled nursing. Memory care unit: No.
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Generations Ashe Assisted Living
182 Chattyrob Lane, West Jefferson, NC 28694Facility type: Adult care home. Memory care unit: Yes.
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Forest Ridge Assisted Living Facility
151 Village Park Drive, West Jefferson, NC 28694Facility type: Adult care home. Memory care unit: Yes.
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Hillview Family Care Homes #1-3
523 Milt Houck Road, Todd, NC 28684Facility type: Family care home. Memory care unit: No.
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Ashe Really Cares
204 Beaver Creek School Road, West Jefferson, NC 28694 -
Medi Home Health & Hospice – West Jefferson
1877 NC-163, West Jefferson, NC 28694Home health and attendant care, skilled nursing care, medical transportation, bereavement services, emotional support.
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Amorem
274 Archie Carroll Rd, Boone, NC, 28607Hospice and palliative care provider serving Ashe, Avery, Watauga, and Wilkes (among other counties).
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NRHA Ashe County Field Office – Historic Ashe Hospital
410 McConnell Street, Jefferson, NC 28640Local office of the Northwestern Regional Housing Authority.
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NRHA Ashe County Field Office – Oak Grove Village
401 Oak Grove Circle, Jefferson, NC 28640Local office of the Northwestern Regional Housing Authority.
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Blue Ridge Opportunity Commission (BROC) – Ashe Office
169 Warrensville School Rd, Warrensville, NC 28693Provides weatherization, heating appliance repair/replacement, emergency assistance, family self-sufficiency, and Head Start to Alleghany, Ashe, and Wilkes counties.
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Avery County Morrison Public Library
150 Library Place, Newland, NC 28657 -
Avery County Department of Social Services
358 Beech Street, Newland, NC 28657 -
Feeding Avery Families (Food Pantry)
189 Old Vale Road | PO Box 1075, Newland, NC 28657Weekly food distribution and mobile food distribution for Avery County individuals/families.
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MANNA Food Bank
Limited services connecting residents to food resources.
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Avery County Health Department / Toe River Health Avery
545 Schultz Circle, Newland, NC 28657Services include primary health care, women's health, WIC, laboratory, child & teen, family support, environmental health, and emergency preparedness.
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Cannon Memorial Hospital
434 Hospital Drive, Linville, NC 28646 -
Lifecare Center of Banner Elk
185 Norwood Road, Banner Elk, NC 28604Facility type: Skilled nursing. Memory care unit: No.
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Cranberry House
6215 North HWY 19E, Newland, NC 28657Facility type: Adult care home. Memory care unit: Yes.
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NRHA Avery County Field Office – Historic Elk Park School
253 Elk Park School Road, Elk Park, NC 28622Local office of the Northwestern Regional Housing Authority.
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Mitchell County Public Library
18 N Mitchell Avenue, Bakersville, NC 28705 -
Mitchell County Department of Social Services
347 Long View Drive, Bakersville, NC 28705 -
The Greens of Spruce Pine
218 Laurel Creek Court, Spruce Pine, NC 28777Facility type: Skilled nursing. Memory care unit: Yes.
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Mitchell House
13681 Hwy 226 South, Spruce Pine, NC 28777Facility type: Adult care home. Memory care unit: Yes.
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Watauga County Project on Aging – Western Watauga Community Center
1081 Old US 421, Sugar Grove, NC 28679Services: In-Home Aide, Congregate & Home-Delivered Meals, Health Promotion, Transportation, SHIIP (Medicare counseling).
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Watauga County Public Library
140 Queen Street, Boone, NC 28607 -
Western Watauga County Library
1085 Old US Highway 421, Sugar Grove, NC 28679 -
Watauga County Department of Social Services
132 Poplar Grove Connector, Boone, NC 28607 -
The Foley Center at Chestnut Ridge
621 Chestnut Ridge Parkway, Blowing Rock, NC 28605Facility type: Skilled nursing/assisted living. Memory care unit: No.
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Glenbridge Nursing & Rehabilitation
211 Milton Brown Heirs Road, Boone, NC 28607Facility type: Skilled nursing. Memory care unit: No.
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Deerfield Ridge
287 Bamboo Road, Boone, NC 28607Facility type: Adult care home. Memory care unit: Yes.
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Wilkes County Public Library
215 10th St, North Wilkesboro, NC 28659 -
Wilkes County Department of Social Services
304 College Street, Wilkesboro, NC 28697 -
Ridge Valley Center for Nursing and Rehabilitation
1000 College Street, Wilkesboro, NC 28697Facility type: Skilled nursing. Memory care unit: No.
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Westwood Hills Nursing and Rehab
1016 Fletcher Street, Wilkesboro, NC 28697Facility type: Skilled nursing/assisted living. Memory care unit: Yes.
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Wilkes Health and Rehabilitation
204 Old Brickyard Road North, Wilkesboro, NC 28659Facility type: Skilled nursing. Memory care unit: No.
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Wilkes Regional Medical Center: Skilled Rehab Unit
West D Street, North Wilkesboro, NC 28659Facility type: Skilled nursing.
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Wilkes Assisted Living
206 Old Brickyard Road North, Wilkesboro, NC 28659Facility type: Adult care home. Memory care unit: Yes.
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Rose Glen Manor
240 Independent Ave, North Wilkesboro, NC 28659Facility type: Adult care home. Memory care unit: Yes.
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Ashe Home Care – North Wilkesboro
5 Sparta Rd. North Wilkesboro, NC 28659Nurse-directed care including in-home, respite, and dementia care in Ashe, Watauga, Alleghany, and Wilkes counties.
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Yancey County Public Library
321 School Circle | PO Box 1090, Burnsville , NC 28714 -
Yancey County Department of Social Services
320 Pensacola Road, Burnsville, NC 28714 -
Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714Facility type: Skilled nursing. Memory care unit: Yes.
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Yancey House
6 Cooper Lane, Burnsville, NC 28714Facility type: Adult care home. Memory care unit: Yes.
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