At Hand-N-Hand Provider Agency LLC., we believe that care is more than just a service—it’s a calling. Our journey began with personal experience, shaping the way we understand and support individuals with developmental disabilities. We don’t just provide care—we walk alongside families, offering compassionate, faith-driven support that fosters independence, dignity, and a true sense of belonging.
Our Core Values
Meet the Team That Cares
Jarett Marshall
CEO/Owner
Bob Marshall
Owner
Cari Marshall
Adult DSP
Theresa Tester
Executive Manager/HR
Ashley Guerra
Respite & Adult DSP
Briana Thoss
NMT Driver
Get In Touch
We’re here to help you take the first step
Bryon Witt
NMT Driver
Daniel Contreras
Adult DSP
Jennifer DeWalt
NMT Driver & Adult DSP
Kris Jackson
NMT Driver
Lisa Katafias
Shared Living Provider
Lisa LeJeune
Adult DSP
Patricia Bickhart
Shared Living Provider
Rosie Mancha
Adult DSP
Tracy Stein
Respite & Adult DSP
Faith in Service
Guided by 1 Peter 4:10-11, we serve with integrity, using our gifts to support and uplift others.
Dignity & Compassion
Every person deserves to be treated with kindness, respect, and the opportunity to thrive.
Excellence Through Connection
We build meaningful relationships and hold ourselves to the highest standards in care.
In Kindergarten, I remember a day in Mrs. Craig’s class when kids from the School of Hope visited us. I was paired with a boy in a wheelchair who didn’t speak and ground his teeth fiercely. I don’t remember his name, but I remember how he made me feel—needed, purposeful. I spent the day simply being his friend, and I went home feeling fulfilled in a way I didn’t understand at the time. That moment planted a seed.
Years later, in 5th or 6th grade, our class spent a week visiting Green Springs nursing facility. I was paired with an older gentleman in a wheelchair. We watched game shows, talked, did arts and crafts—simple things. But once again, I felt that same sense of worth and purpose.
Time passed. I graduated high school, started college full-time for Criminal Justice, and managed a pizza shop. I thought I knew where I was headed. Then my aunt—who had spent her career in the developmental disabilities (DD) field—asked if I’d consider working with two gentlemen needing daily support. Instantly, memories of those early experiences rushed back. I applied the next day and started working with a man named Matt.
Very quickly, I felt that calling again. I loved the work. I was being paid to do something that brought me joy and fulfillment. A few months in, I was encouraged to apply for a promotion. I hesitated—my plan was to finish my degree and pursue law enforcement. But after prayer and reflection, I applied. I got the job. I paused my education and dove into being a regional manager. I found I not only loved serving others but also found passion in the business side of the field.
Life moved on. The company split. I met a woman who saw past my flaws and married me. Then came the most exciting news of all—I was going to be a father.
I remember waiting for my daughter’s birth, filled with anticipation. But the joy quickly turned to fear. The room grew quiet. Nurses whispered. My daughter was taken away, and I was left with a cryptic response from the doctor. I ran to find her and saw my family crying outside a closed room. Inside, a doctor told me there were complications, and that she may have Turner’s Syndrome.
Two months, two hospitals, and one open-heart surgery later, we were home—forever changed. But not broken. Blessed. Every moment of my life had been preparing me for that moment. For her. She is my heart. And my heart is to serve.
That heart for service is the foundation of Hand-N-Hand. It is more than a job. It is a calling. And I thank every single person who gives us the opportunity to serve you or your loved one.
There are no coincidences in life. Every trial and tribulation has a purpose. Every low, every high, every decision and consequence is part of a bigger plan that was set in motion before your first breath. This is something I believe with every fiber of my being.
Raised in a strict Christian household, and holding a very narrow and direct moral compass, I often felt like an outcast. As a child, I saw and heard things from my peers that I was told were wrong or inappropriate. That moral rigidity, while grounding, made it hard to form friendships. I was often bullied and ridiculed, and my self-confidence suffered. At the time, I didn’t understand why. But looking back, I see now that those experiences were molding me. They built emotional, mental, and spiritual resilience, and taught me empathy. They sparked a determination to stand up for others who, like me, were seen as different.