Is North Tonawanda in Erie County or Niagara County?
Short answer: North Tonawanda is in Niagara County. It sits directly across the Niagara River/canal from the City of Tonawanda and the Village of Kenmore, both of which are in Erie County — a genuinely easy mix-up given how close together they sit.
This trips up a lot of families researching senior care in this specific area, because the City of Tonawanda, the Village of Kenmore, and North Tonawanda are essentially adjoining communities separated by the Niagara River, yet split across two different counties with two different aging-services agencies and, in some cases, two different sets of Medicaid caseworkers. If your family member lives in this cluster of communities, confirm which side of the river (and which county) their specific address falls in before assuming which county department handles their case — Erie County's Department of Senior Services for the Tonawanda/Kenmore side, Niagara County's Office for the Aging for the North Tonawanda side.
