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Personalized care for adults with developmental disabilities so they can be supported, respected, and live a life that’s truly theirs.
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Top Care Support provides one-on-one assistance for adults with intellectual and developmental disabilities across New Jersey.

With us, you get:
Relationships that
feel personal
Communication that
is compassionate
Support that helps each
person feel confident at
home and in the community.
Trusted by families
throughout
New Jersey.
Our support professionals
are trained in ADLs, life skills,
and behavioral support.
Serving adults 21 and
older enrolled in the
DDD waiver program.
Over a decade supporting
adults with developmental
disabilities.
Top Care Support provides individualized support for adults with developmental and intellectual disabilities.
You want your loved one to be cared for by someone who truly gets them and treats them with the respect and patience every human deserves.
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Team support
Work closely with an agency that understands your unique needs and goals and provides the tailored support you need.
Dedication
Receive ongoing oversight from a team that remains actively involved and understands each individual’s needs and goals.
Communication
Benefit from strong involvement with the families, including in-person meetings to build genuine relationships and understanding..
Imagine having a team that listens, shows compassion, and stays involved. A team that helps your loved one grow, feel secure, and participate in daily life in a meaningful way. With Top Care Support, you have a steady partner who respects your family and works with you every step of the way.
Experienced team with long-
standing expertise in the field
Dedicated behavior support services
Personalized, individualized approach to care
Strong communication and
involvement with families

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Every individual with intellectual and developmental disabilities needs a team that sees their strengths and supports their goals.
We are led by a team with a simple approach: treat every person with dignity, listen closely, and show up consistently.
Support with ADLs, routines, and maintaining a safe, comfortable home environment.

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Help with outings, social experiences, and recreation that encourage confidence and connection.
Guidance from a BCBA and behavior support team to help manage challenges and build positive skills.

Rather than providing direct support staff ourselves, we guide the process by handling the training, onboarding, and ongoing support needed to ensure the individual is prepared and aligned with required standards.

Before Top Care Support, our home felt overwhelming. Our son’s behaviors made it hard to manage daily life, and we were constantly on alert, especially around safety. I couldn’t cook, clean, walk the dogs, or keep up with work without feeling like everything might fall apart. Since starting with Top Care, I have my life back. I can stay at work without leaving early, stop for groceries on the way home, and cook dinner every night. Our home feels calmer. The team, especially Tom Bowker and each DSP, shows up with professionalism and genuine care, taking the pressure off our family by truly engaging our son at home and in the community.
Top Care goes above and beyond what most providers offer in individual support. They get to know the person/family they are working with and use that information to match them up with support specific to their needs. They are willing to help in any way they can with tasks such as holding check-in meetings and specific staff training. They are persistent in finding staff, are attentive and responsive, have a person-centered approach, and deeply listen to needs and concerns. Top Care is a rare find.
Reach out to see how we can help you and walk you through the process.
We stay connected with you, checking in regularly and adjusting your support plan as your needs change.

DSPs who are trained to support ADLs in life skills and behavioral support.
Stay in the loop about support plans, staffing, and progress.
Your family members' routine, preferences, and goals shape our schedule.
BCBA supervised support who know how to de-escalate, redirect, and teach positive coping skills.
Supporting your loved ones' dreams, preferences, and the right to make their own choices.
After a few weeks we were on board and had a DSP with 15 years of experience working part-time with our son. They immediately felt comfortable with each other. The DSP remained calm and really listened to us and to my son. Most importantly, he was not intimidated by any behavior he might encounter. Right away, my son’s anxiety lessened, he began getting out of the house after months of being trapped inside. After just a week, I received a video of him smiling and laughing like he used to. We went full-time with Top Care and have never looked back. Thanks to their support, we have our son back, and we are forever grateful. I also know that when the next time comes around, (and it will) they will be there to help us support our son.
