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Over 50 years ago, the Junior League of Raleigh had a vision for creating a place for medically fragile children with severe developmental disabilities to get the care they need in an intimate, homelike setting. With the generous support of the Civitan Club, the Kiwanis Club, and many concerned citizens, the doors to Hilltop Home officially opened in 1960.

We provide a home to medically-complex children who have severe/profound developmental disabilities and require specialized 24-hour habilitative care. With the capability to support 22 children, from birth through eighteen years of age, we treat each child with respect and offer them the opportunity for education, play, and interaction with the community.


Hilltop Home is dedicated to providing quality, comprehensive, individualized services to its residents. Consistent with the beliefs and principles upon which Hilltop Home was founded, these services are provided in an atmosphere that fosters a warm, close relationship with children and their families.

Medical Services

Medical support at Hilltop Home is individualized and complete. The children who live at Hilltop Home receive 24-hour nursing care provided by licensed nurses. Ancillary supports include respiratory therapy and dietary services.


Hilltop Home offers an early intervention developmental program for children who are under five years of age. Recognized by North Carolina Dept. of Public Instruction as a certified non-public school, Hilltop Home provides a quality educational program contracted through Wake County Public Schools for children ages five years and above.

Therapeutic Services

Hilltop Home provides physical, occupational, speech, and feeding therapies according to the unique needs of each child. Therapists develop gross and fine motor, oral-motor, and communication activities to maximize children’s physical and functional potential.

What Parents Said About Us

The staff at Hilltop Home provides outstanding, top-notch care for severely disabled children. It is truly patient-centered care.
Ben Alexander: former - Board of Directors
Hilltop Home was one of the best things that could have happened for my family. They provide my son with the comprehensive, compassionate care that simply could not be duplicated at home.
Phil Stein: Parent

Special Services

Our comprehensive habilitative program features individualized medical, therapeutic, developmental, and educational services including:

  • Around -the-clock nursing care by licensed nurses experienced in seizure control, respiratory complications, oral-motor dysfunction and neuromuscular impairments
  • Quality educational services in our certified, non-public school setting
  • Physical, occupational, speech, feeding, and respiratory therapy to maximize the potential of our children