Empowering lives.
Building independence.
True Care Living DDS LLC provides high-quality, person-centered services for individuals with developmental disabilities across Nebraska — built on respect, choice, and the belief that every person deserves the chance to thrive.
Care that puts the person first
We design supports around each participant's strengths, preferences, and goals — not the other way around. Every plan, every staff member, every routine starts with the question: what does the person want their life to look like?
Person-Centered
We listen first. Every Individual Support Plan is built collaboratively with the participant, their family, and their support team.
Compliance Built-In
We meet and maintain Title 404 NAC and HCBS Final Settings requirements — so you can focus on what matters most: the people we serve.
Skilled Team
Direct Support Professionals certified in Mandt, CPR, and First Aid, supported by experienced clinicians and program leadership.
Real choices. Real outcomes.
From in-home supports to residential settings, day services to employment pathways, our programs are designed to grow with the participant. We don't place people into boxes — we help them define their own goals and provide the supports needed to reach them.
- Individualized planning rooted in informed choice
- Coordinated medical, behavioral, and life-skills supports
- Active community participation, employment, and education
- Person-directed financial management and rights protections
- 24/7 on-call coordination for residential participants
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Service codes offered
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Medicaid waivers
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NAC 404 compliant
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On-call coverage
Real moments. Real lives.
A glimpse into the everyday work of building independence, dignity, and joy alongside the people we serve.
A full continuum of supports
Our programs span every life stage and support need — from a few hours of community integration a week to full residential habilitation.
Continuous Home — Residential Habilitation
24-hour person-centered residential support for adults who benefit from a structured home environment.
NAC 5-001 · 3992Independent Living
Skill-building supports for participants living in their own homes — cooking, budgeting, scheduling, and more.
NAC 5-001 · 2639Day Supports
Structured daytime programming focused on community integration, life skills, and recreation.
NAC 5-001 · 8652Supported Employment
Job exploration, placement, and on-site coaching to help participants succeed in competitive employment.
NAC 5-001 · 9695Respite Care — Agency
Short-term relief for primary caregivers — provided in-home or in a planned community setting.
NAC 5-001 · 2656Family & Peer Mentoring
Connecting families with experienced mentors who've walked the same path.
NAC 5-001 · 8490Care you can trust
Independent reflections from the families, caregivers, and professionals who've walked alongside us.
The staff actually listened to what my brother wanted. After years of programs that felt one-size-fits-all, finally a team that builds the day around him — not the other way around.MMaria L.
Family member · Sarpy County
Communication has been outstanding. Documentation in Therap is timely, the Director is accessible, and incident response is exactly what 404 NAC asks for. A pleasure to coordinate with.JJordan P.
Service Coordinator · MLTC
The training I've received here is real. CPR, First Aid, Mandt — all paid, all on the clock. I feel confident going into every shift.DDevon T.
Direct Support Professional
Ready to take the next step?
Whether you're looking for services for yourself or a loved one — or want to join our team — we're here to help.