
A second chance, offered by someone who lived it
A Fresh Start began with one woman's belief that no one is beyond hope, and that the right help at the right time can change everything.
Or call us now: (252) 822-1790

Adrianne Hall
Adrianne grew up in The Bronx, New York, and came to the Rocky Mount area with her mother and brothers. As a young woman she went through a season of homelessness, and she's honest that it came from her own choices.
The birth of her daughter changed everything. Adrianne found an apartment, turned her life around, and decided to spend it making sure others got the same second chance she was given.
In 2012 she founded New Beginning Mothers and Children's Christian Center to support unwed mothers, struggling teens and families going through hard seasons. That work grew into A Fresh Start, which serves people facing homelessness and mental health challenges, and into A Fresh Start Homecare Agency, which brings that same heart into homes across Rocky Mount.
From 2017 to 2025 she also ran a family care home for people who could no longer live on their own. In June 2026 she hosted a gala at the American Legion post in Rocky Mount, presenting more than 100 awards to local small businesses, doctors and ministers, because she believes in giving people their flowers while they're here to receive them.
For Adrianne, the motivation fits in one word: faith.
God gave me a chance to live. I could have been dead and gone plenty of times.Adrianne Hall, Founder, A Fresh Start
The heart behind our care
Everyone deserves a fresh start
Aging, illness and hard seasons don't define a person. We meet people where they are, with no judgment, and help them keep living well.
Dignity is not optional
We treat every client the way we'd want our own mother treated: respectfully, patiently and as the expert on their own life.
Community is family
We're from here. Our care, our caregivers and our nonprofit work all come back to Rocky Mount and the Twin Counties.

Part of a bigger mission
A Fresh Start Homecare Agency is one part of Adrianne's larger work in Rocky Mount. Through A Fresh Start, she also helps neighbors facing homelessness and mental health challenges and mentors young people, and she's planning a free transportation program to help rural residents reach the stores they need.
When you choose A Fresh Start for your family, you're supporting that whole mission.
See our community workLicensed in North Carolina
A Fresh Start Homecare Agency holds North Carolina home care license HC7784, issued through the NC Division of Health Service Regulation.
Visit our office
301 South Church St., Suite 153, Station Square, Rocky Mount, NC 27804. Call (252) 822-1790 before you stop by, and we'll make sure someone's there to welcome you.
Let's talk about your family
Schedule a free, no-pressure visit. We'll listen, answer your questions, and help you decide what's right.
Join a team that believes in second chances
If you have a caring heart and a steady hand, we'd love to meet you. Flexible schedules, local clients, real support.