Service Providers

The following is a list of service providers who serve individuals in the tri-county area where we provide case management services. These providers may also serve other areas of the state, however, for the purpose of this listing, the service area is listed as the counties where we provide case management AND they offer direct services.

Washington County SB40/TCM does not endorse providers or influence individuals in our case management program to choose any particular provider of service. This page is simply for the dissemination of service provider options in our area.

If you represent a service provider in Washington, Crawford, or Iron Counties who is contracted with DMH to provide waiver services and wish to have your information added to this page, please contact Jeff Richards at 573-438-2866 or email

Name of Organization

Summary of Services Offered

Contact Information

Advantage Nursing Services

Advantage homecare provides personal care, homemaker & many other community-based services to the area’s neediest population. Established in 1980, the Advantage family of companies has been providing compassionate homecare to midwestern families for over 30 years. 

Choices for People

Choices for People Center, was started in 1957, as the Rolla Cerebral Palsy School by a grass root organization. A group of members and families from the community came together to provide services that were not available at the time.

In 1992 the name was changed to Choices For People Center, and focus was targeted towards adults who needed services. These services include Adult Day Services, Community Living and Individual Supported Living programs. Choices For People Center is a 501(c)(3) not-for-profit corporation.

Serves Crawford County

1840 Hwy 72 East, Rolla MO. 65401


Citadel Group Home

Citadel Group Home provides residential services for individuals with DD.  Citadel also offers out of home respite on a limited basis

Serves Washington County

217 E Citadel Dr, Potosi, MO 63664

(573) 438-3736

Dynamic Behavioral Services LLC

Offers a wide range of  behavioral services

Serves Washington and Iron Counties

573-429-3761  Sherry Wagner
573-429-4810  Todd Jordan

Disabled Citizens Alliance for Independence – DCAI Foundation

DCAI Foundation provides Personal Assistance and In-Home Respite through Department of Mental Health.

We also provide Personal Care, Respite, Homemaker Services, and Authorized Nurse Visits (weekly med set ups, monthly nail care, skin monitoring, monthly injections, etc) through DHSS, Veteran Services, and Self-Pay Personal Care.

Serves Washington, Crawford and Iron Counties

P.O. Box 675 #8 Missouri Avenue Viburnum, MO 65566 CDS Toll Free: 866-797-6080 VOICE & TTY: 573-244-3315

Toll Free: 800-844-3316
FAX: 573-244-5609

Elara Caring

Elara Caring provides RN or LPN Medication oversite, CNA or Homemaker Aides up to 24 hours per day.  They also provide clients with Personal Care, Home Care, Respite Care, and RN/LPN Care.

828 E. High Street Suite 14Potosi Mo 63664



Empac Employment Resources

Empac Employment Resources is dedicated to assisting individuals with finding meaningful, paid employment. Each job seeker is teamed up with an employment specialist to assist the program participant in finding a job. Our employment specialists work closely with businesses and other organizations to help employers understand the benefits of employing someone with a disability. Employment specialists also work with employers to arrange job trials, evaluate the work site and conduct an analysis of job duties. If needed, employment specialists negotiate reasonable job accommodations that will make it possible for individuals to perform functions essential to the job and to be as productive as their co-workers.

  • Career exploration and vocational guidance based on interest and abilities 
  • Assistance with resume building, completing applications and interviewing successfully
  • On-site job training when needed 
  • Job retention support
  • Benefit analysis
  • School to work transition assistance 
  • Skills training 

Serves Washington and Crawford Counties

1600 W Main Street
Washington MO 63090

636 239 2744

104 Airport Road
Sullivan MO 63080

573 468 3888

Healthy Home and Family

Healthy Home and family currently has contracts with DMH  for personal care and respite.  They also work through Senior and Disability Services to provide in-home personal care, advanced personal care, nursing visits, home care and respite.  They additionally provide veterans services through the VA out of St. Louis and Poplar Bluff.  They also have contracts for Medically fragile Adult and children and personal care and advanced personal care and private duty nursing through the Bureau of Special Healthcare Needs. 

Serves Washington and Iron Counties.

210 West Harrison Street in Farmington, Mo. 63640  

Phone is 573-760-0709   

Fax is 573-760-0124

Heaven Scent

Heaven Scent offers and array of home and community-based services and support individuals with intellectual and developmental disabilities.  Services are centered around the needs of each individual we serve, and designed to promote independence, skill development and community integration. 

Service options: Individualized Supported Living and Personal Assistant

3379 N HWY 67 Florissant, Mo 63033


Help at Home LLC

Help At Home, LLC provides:

  • ISL
  • shared living
  • personal assistant
  • medical personal assistance
  • community integration
  • individual skills development
  • in-home respite

We strive to ensure that all services are provided with a person-centered approach.

102 E. Springfield Ave.
Ste. 201
Union, MO 63084
(636) 584-0980
10320 Highway 21
Hillsboro, MO 63050
(636) 789-2670

Home Care Nursing, Inc.

Home Care Nursing provides personal assistance, respite, and individualized supported living through the Department of Mental Health and also provides Veterans Care

Home Care Nursing Inc.
310 Potosi St. Suite A
Farmington, MO 63640

Call: 573-747-1678
Fax: 573-747-0583
Toll Free 24 hour pager: 1-888-305-8682

Night Owl Support Systems, LLC

Night Owl provides a menu of different levels of remote supports varying from your standard PERS systems to full live-remote monitoring. Night Owl partners with families and or providers to provide physical assistance when needed, providing an unprecedented efficient way to support people in their own homes.

Serves Washington, Crawford and Iron Counties

P.O. BOX 259293 | MADISON, WI 53725

TOLL FREE: 877-559-1642

FAX: 608-960-4003

Ozark Valleys Community Services (OVCS)

OVCS is a Missouri Tiered Support Agency. We provide TOOLS of Choice Training and Positive Behavior Supports. OVCS is recognized as a professional leader in providing person centered supports to individuals with disabilities while encouraging them to be empowered through community involvement, open communication and employment to ensure they are accepted as people first and we seek equality for all.

Serves Iron County

310 South Shepherd Street

Ironton, MO 63650

Phone: 573-546-2418

Toll Free: 866-351-2960

Fax: 573-546-4241

Preferred Family Healthcare

Preferred provides services to people with disabilities and barriers. Services are specifically based on each individual’s needs and interests.  One program is Discovery & Exploration for individuals who are considered most severely affected by their disability and possibly have never worked, and can range from high school graduates to adult age that have been out of the workforce for a while. This program takes them directly on a job site to do work performance assessments to determine what program benefits him/her.
ES (Employment Service) is for people, with disabilities, who are able to work more independently without supervision or job coaching.
Preferred also provides employment services through DMH.

Premier Home Health Care

Premier has offices 8 offices thru out Missouri and offers most all the State  Medicaid services.    They provide services through the DMH Waiver Program, the Personal Care Medicaid program as well as  Private Duty Nursing with children. 

Washington County Handicapped Service (DBA) The Pam Dudley Center

The Pam Dudley Center serves individuals in Washington County and offers a variety of services including residential supports, day habilitation, personal assistance, community inclusion and transportation.  Washington County Handicapped Services began offering supports to individuals with IDD in 1983. In 2005 The Center Was Named In Honor Of The Late Pam Dudley, Paying Tribute To Her Memory And Visionary Spirit.

10604 West State Hwy E  Potosi Missouri. 


Wright Way Behavior Services LLC

Wendy Wright-Bell has been working in the field of Applied Behavior Analysis for over 20 years. She has a Master’s of Science in Applied Behavior Analysis and Autism from Sage Graduate School in Albany, NY. Wendy’s primary experience is with both kids and adults with disabilities. More importantly, she has extensive work in decreasing challenging behavior. 

Wendy Wright-Bell, MS, BCBA,

LBABehavior Analyst & OwnerWright Way Behavior Services LLC