Looking for support for someone you love.
We'll help you understand your options and check if you qualify for ECF CHOICES.
Find the Right SupportNow Expanding to West Tennessee
Care built around the person, not the paperwork.
We support adults with disabilities and complex medical needs — in real homes, real jobs, and real communities across Middle Tennessee.
Speak with our intake team · 615-502-0525 · We respond in under 24 hours.
Placing someone with a provider who says yes.
Send the placement details and our intake team responds in under 24 hours.
Submit a ReferralServing Middle Tennessee
Now expanding to West Tennessee
Serving Tennessee since 2018
Adults 18+ with complex needs
24/7 Nurse-Backed
On-call clinical support
Licensed · DDA & CMS
Certified Medicaid provider
The DHS Difference
You are heard here — before a single plan is written.
Families often come to us after a placement broke down somewhere else. We listen first. Then we bring the clinical rigor that keeps a placement stable for years.
- Person-directed planning
- The person leads the meeting about their own life.
- Clinical depth on call
- Nurses and behavior clinicians supporting every home.
- Complex-care acceptance
- We say yes to referrals others decline.
- Clear communication
- Families hear from us before they have to ask.
Our Services
Seven services, one provider
Homes, jobs, daily help, and rides — all from one team, so a change in need never means starting over with a stranger.
Type a keyword and find the right support for your family or client.
- Home & Residential Support
Community Living Support (CLS)
A real home — not a facility — with trained staff on site day and night, built for adults whose medical or behavioral needs go beyond what most providers can handle.
See details - Home & Residential Support
Semi-Independent Living
Your own place, with help on the days and hours you need it.
See details - Home & Residential Support
Supported Living
Your own home, your own choices — with the support you need to make community living work.
See details - Home & Residential Support
Employment and Community First CHOICES (ECF)
TennCare's program that pays for support at home, at work, and in the community. We help you use it.
See details - Employment, Day & Community
Employment Day Service
Real jobs and full days out in the community, with a coach beside you.
See details - Employment, Day & Community
Independent Living Skills Training
Learn the everyday skills that make living on your own possible.
See details - Personal & Daily Support
Personal Assistance
Hands-on help at home with the personal parts of the day.
See details - Personal & Daily Support
Transportation
Our own accessible vans get people to doctors, jobs, and community outings — on time.
See details
Transportation
Our own vans. Our own drivers. On time.
Rides are one of the biggest reasons care falls apart. So we own the vans and train the drivers ourselves — to doctors, to work, to day programs, and out into the community.
- Wheelchair accessible vehicles
- Trained, background-checked drivers
- Medical, work, and community trips
- Planned in advance, on time
30-Day Transition Pipeline
Complex moves deserve a real plan
- Days 1–3
In-home shadowing
We learn routines and preferences before anything changes.
- First 72 hours
Stabilization
Extra staffing and clinical presence in a new setting.
- Days 4–30
Clinical check-ins
Nursing and behavioral review through the first month.
Real DHS moments
Real people. Real days.
Out in the community, where life happens — one moment at a time.
Community days. Shared space, shared joy.
Reviews
Families and partners trust DHS — 5.0 stars on Google
5.0 on Google
Families, case managers, and staff review Destination Healthcare Services publicly on Google. Reviews are pulled live — we don't publish testimonials we wrote ourselves.
Read All Reviews on GoogleCommunity Support
We Are Proudly Affiliated With
Proud to stand alongside Tennessee's leading advocates for people with disabilities.
Free Eligibility Check
Not sure if you qualify for ECF CHOICES? Let's find out — free.
Education Hub
Plain-language guides for families
Waivers, eligibility, support plans, and the move from school to adult services — in plain words.
New to this? Start here.
Our free family guide to disability services in Tennessee.
Licensed Medicaid provider · DDA & CMS certified · Serving Tennessee since 2018.
Tell us about the person you're calling for
Referrals, family questions, and provider transfers all start the same way. We respond in under 24 hours.
Or call 615-502-0525