How to apply for Nassau County Council on Aging — Adult Day HealthCare + Advocate Home Healthcare in Florida
Nassau County Council on Aging, Inc. (NCCOA) — 501(c)(3) nonprofit serving Nassau County for 40+ years; licensed Adult Day HealthCare facility + Home Health Services provider integrated with NCCOA's broader AAA delivery role; main office at 1901 Island Walk Way, Fernandina Beach FL 32034
Who it's for
Beyond Meals on Wheels and NassauTRANSIT, NCCOA operates two senior services that materially reduce caregiver burden: (1) Adult Day HealthCare — a licensed structured day-program providing supervision, meals, activities, personal care, and medical monitoring for seniors needing more support than independent living but less than skilled nursing; gives family caregivers daytime respite for work, errands, and self-care. The 'HealthCare' designation (vs. 'Adult Day Care') reflects the higher level of nursing supervision available compared to social-model day programs. (2) Advocate Home Healthcare (NCCOA's home health service) — including personal care assistance (bathing, dressing, grooming), light housekeeping, errand support, and limited nursing visits for seniors who prefer to age in place. NCCOA's home health is funded through a mix of Florida Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), Alzheimer's Disease Initiative (ADI), private-pay, and limited Medicaid Long-Term Care contracts. Eligibility is age 60+ and Nassau County residency for the senior pathway; Adult Day HealthCare additionally requires a documented functional need (physician referral or NCCOA case manager assessment) and Home Health requires an ADL-limitation assessment. Apply by calling NCCOA at 904-261-0701; to tour Adult Day HealthCare (The Club), call 904-775-5488.
NCCOA's Adult Day HealthCare and Home Health Services are sponsorship-funded — sliding-scale fees apply based on income and sponsorship source (CCE, HCE, ADI, private-pay, or limited Medicaid LTC). The 'HealthCare' designation in Adult Day HealthCare means licensed nursing supervision is available on-site, which is a more substantial service than the social-model Adult Day Care operated in Clay (fl.clay.coa_adult_day_care). For seniors with significant medical complexity (dialysis, complex med regimens, post-stroke recovery, post-surgical needs), NCCOA's Adult Day HealthCare is materially more appropriate than peer county Adult Day Care programs. Home Health Services may have a waitlist depending on funding cycle — apply early. The combination of NCCOA Adult Day HealthCare + Home Health + NassauTRANSIT + Meals on Wheels under one nonprofit is the second fully-integrated AAA delivery model in the catalog (after St. Johns COASJC) and is genuinely valuable for caregivers coordinating complex care plans.
People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.
Discover my benefitsWhat you'll need
- Proof of age 60+ (Florida driver's license, Florida ID, or birth certificate)
- Proof of Nassau County residency (utility bill, lease, or government correspondence)
- For Adult Day HealthCare: physician referral documenting functional/medical need + caregiver presence in household
- For Advocate Home Healthcare: NCCOA case manager assessment of activities-of-daily-living limitations
- For ADI program inclusion: documented cognitive impairment diagnosis or screening result (MoCA, MMSE, or similar)
- For Medicaid LTC payment: separate Medicaid application + level-of-care determination
Where to apply
Apply online: official application
By phone: 904-261-0701
What to say when you call
"Hello, I'm calling to ask about Nassau County Council on Aging — Adult Day HealthCare + Advocate Home Healthcare. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of age 60+ (Florida driver's license, Florida ID, or birth certificate), proof of Nassau County residency (utility bill, lease, or government correspondence), for Adult Day HealthCare: physician referral documenting functional/medical need + caregiver presence in household — is anything else required? What is the best next step?"
Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.
Renewals
annual reassessment by NCCOA case manager; Adult Day HealthCare enrollment is rolling
Not sure if you qualify? Run a free check first.
Discover my benefitsNot legal or financial advice. The agency makes the final eligibility decision.