In Miami-Dade, families can find several entry points for assistance, but each has a different role. The county assesses some direct services, Alliance for Aging guides residents through a regional network, and community organizations such as LHANC prepare meals under their own intake process. An office address in Miami does not by itself define jurisdiction: the key rule is often Miami-Dade residency plus the program’s assessment.
For functional support at home, Miami-Dade County’s Home Care Program considers residents age 60 and older who cannot manage certain daily activities, lack adequate informal support, and could need institutional care without community services. Help may include light cleaning, laundry, shopping, meal preparation, personal care, and heavier household tasks. Start by calling (786) 469-4707; the county decides after reviewing needs and available support.
The same number handles questions about Meals for the Elderly. The county describes seven frozen meals per week for eligible homebound older adults, along with fruit, milk, and other food, delivered on weekdays. Residents who are not homebound can ask about hot meals at senior centers; the county lists locations and notes activities and nutrition guidance. Ask for the site closest to the ZIP code because services are not all inside the City of Miami.
When a family is unsure which benefit fits, Alliance for Aging serves as the designated ADRC for Miami-Dade and Monroe. Its free Elder Helpline, (305) 670-4357 or 1-800-963-5337, provides information, referrals, and guidance on local resources and long-term care programs; SHINE offers Medicare counseling. Services are delivered through contracted providers, and waitlists can depend on funding and assessment.
A community meal option is Little Havana Activities and Nutrition Centers (LHANC). Its delivery program is for enrolled homebound adults age 60 and older and adults with disabilities; the organization says it has no income limit but does require eligibility screening. It lists hot meals Monday through Friday or weekly frozen meal packages. Call (305) 858-0887, extensions 1298 or 1228, to confirm diet options, cost, and a possible start date.
The county home-care program office is at Overtown Transit Village North, 701 NW 1st Court, 11th Floor, Miami. There is no need to arrive without an appointment: call first and ask which documents to bring. Have the person’s age, address, mobility, daily limitations, living arrangement, current help, and health coverage ready. These details help staff determine whether the county, Alliance for Aging, or another provider is the right route.
State programs funded through the Older Americans Act or Community Care for the Elderly may provide support distinct from Medicaid. Medicare covers some skilled care under medical conditions but not most long-term custodial help with daily activities. Before hiring a private aide or accepting subsidized services, request the scope in writing, ask about copayments, and confirm how to report a change or appeal a decision.
Home Care Assistance for Elderly Residents with Disabilities — Miami-Dade County.
Meals for the Elderly — Miami-Dade County.
ADRC — Alliance for Aging, Inc..
Need Assistance — Elder Helpline — Alliance for Aging, Inc..
Home Delivered Meals — Little Havana Activities and Nutrition Centers of Dade County.
Long-term care — Medicare.gov.
Information checked against official agency and provider pages on October 23, 2026. Enrollment, cost, and availability are determined case by case and may change; confirm requirements before arranging a service.
For county home care or meals, call (786) 469-4707; use Alliance for Aging’s free line to compare options and ask LHANC for a meal assessment when home delivery is needed.
Options to compare
These options relate to the question. Read each profile and check current details before deciding.
Miami-Dade County Older Adults and Individuals with Disabilities Services Division
701 NW 1st Court, 11th Floor, Miami, FL 33136
Miami-Dade County offers home care to residents age 60 and older who have difficulty with daily activities, lack adequate informal support, and are at risk of institutionalization. The division also administers meals for homebound older adults and congregate meals at centers; access begins with a county eligibility review.
County services for older adults and people with disabilities
Alliance for Aging, Inc. — Miami-Dade ADRC
760 NW 107th Avenue, Suite 214, Miami, FL 33172
Alliance for Aging is the designated regional aging agency and ADRC for Miami-Dade and Monroe. Its Elder Helpline provides free information and referrals; staff guide callers on long-term care programs, meals, transportation, caregivers, Medicare SHINE, and local providers.
Regional nonprofit aging agency and ADRC
Little Havana Activities and Nutrition Centers of Dade County, Inc. (LHANC)
700 SW 8th Street, Miami, FL 33130
LHANC offers hot meals Monday through Friday and weekly frozen meal packages to enrolled homebound older adults age 60 and older and adults with disabilities. Its page says there is no income requirement; access requires eligibility screening using the Florida Department of Elder Affairs tool.
Community nonprofit nutrition and aging organization
Sources & references
Sources for the information and reporting discussed in this guide.
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Miami-Dade County · Accessed October 23, 2026
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Official website ↗
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Miami-Dade County · Accessed October 23, 2026
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Official website ↗
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Alliance for Aging, Inc. · Accessed October 23, 2026
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Official website ↗
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Alliance for Aging, Inc. · Accessed October 23, 2026
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Official website ↗
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Little Havana Activities and Nutrition Centers of Dade County · Accessed October 23, 2026
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Official website ↗
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Medicare.gov · Accessed October 23, 2026
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Official program information ↗
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Miami-Dade County · Accessed October 23, 2026
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Official website of Miami-Dade County Older Adults and Individuals with Disabilities Services Division ↗
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Miami-Dade County · Accessed October 23, 2026
Primary source for identity, concept, menu, and contact details.
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Official program information ↗
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Alliance for Aging, Inc. · Accessed October 23, 2026
Primary source for identity, concept, menu, and contact details.
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Official website of Alliance for Aging, Inc. — Miami-Dade ADRC ↗
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Alliance for Aging, Inc. · Accessed October 23, 2026
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Official website of Alliance for Aging, Inc. — Miami-Dade ADRC ↗
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Alliance for Aging, Inc. · Accessed October 23, 2026
Primary source for identity, concept, menu, and contact details.
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Official program information ↗
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Little Havana Activities and Nutrition Centers of Dade County, Inc. · Accessed October 23, 2026
Primary source for identity, concept, menu, and contact details.
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Official website of Little Havana Activities and Nutrition Centers of Dade County, Inc. (LHANC) ↗
Primary source
Little Havana Activities and Nutrition Centers of Dade County, Inc. · Accessed October 23, 2026
Primary source for identity, concept, menu, and contact details.