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Business phone system for assisted living facilities for the elderly in New York

557 assisted living facilities for the elderly operated in New York in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
557CBP 2023
Employees
25,355mid-March 2023
Per 100k residents
2.8U.S. 6.1
State rank
11th of 51by count

The assisted living community industry in New York

County Business Patterns counts 557 establishments in New York classified as Assisted Living Facilities for the Elderly (NAICS 623312) for 2023. They employed 25,355 people in mid-March and reported $968.8 million in annual payroll. That is the 11th highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.10% of the 541,313 business establishments in the state.

Per 100,000 residents (2024 estimate) New York has 2.8 assisted living facilities for the elderly, 54.3% below the national rate of 6.1. The average establishment has 45.5 employees against 24.3 nationally. Payroll per employee is $38,210, 9.6% above the U.S. figure of $34,874.

Assisted living facilities for the elderly: New York compared with the U.S., 2023
MeasureNew YorkUnited States
Establishments55720,884
Mid-March employees25,355508,230
Annual payroll$968,802,000$17,723,940,000
Employees per establishment45.524.3
Payroll per employee$38,210$34,874
Establishments per 100,000 residents2.86.1

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

New York's largest markets for assisted living facilities for the elderly

Census published assisted living community counts for 21 metro or micropolitan areas that include part of New York. The largest is New York, NY-NJ, with 430 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 50% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Assisted living facilities for the elderly by metro or micropolitan area, New York, 2023
AreaEstablishmentsEmployeesPer 100k residents
New York, NY-NJ43021,1712.2
Rochester, NY542,4515.1
Buffalo, NY502,4234.3
Syracuse, NY301,9824.6
Albany, NY291,6003.2
Kiryas Joel, NY235873.2
Utica, NY134944.5
Binghamton, NY102934.1
Jamestown, NY104138.1
Ithaca, NY83797.6
Plattsburgh, NY812510.3
Glens Falls, NY7—5.6
Oneonta, NY715211.6
Corning, NY51365.4
Batavia, NY51398.7
Kingston, NY4—2.2
Elmira, NY31623.7
Monticello, NY3523.7
Auburn, NY3684.0
Hudson, NY3615.0
Amsterdam, NY31326.0

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at assisted living facilities for the elderly in New York

15.2% of New York's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 21.5% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Assisted living facilities for the elderly in New York by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees8415.2%33.3%
5–9 employees356.3%14.8%
10–19 employees7112.8%14.0%
20–49 employees16930.5%22.4%
50 or more employees19535.2%15.5%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

What assisted living facilities for the elderly in New York use the phone for

Families researching assisted living usually start with a phone call, and those calls come at all hours from adult children juggling work. Existing residents' families also call regularly for updates.

Calls an assisted living community in New York might handle in a typical week include:

Texting residents and families

Communities text tour confirmations and event reminders to families.

Texting from a local number in New York requires carrier registration (10DLC), a one-time $49 fee on Callata.

What a phone system costs an assisted living community in New York

Assisted living facilities for the elderly in New York average 45.5 employees, so the comparison uses a 46-person team. On a per-user plan that headcount sets the bill: $1,147.70 a month on Ooma Office Pro or $1,380.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $919.00 a month for 46 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $5,532 less than RingCentral for an assisted living community in New York of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 46-person assisted living community
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$919.00$11,028.00
Quo (Starter)$19.00 per user$874.00$10,488.00
Nextiva (Core)$23.00 per user$1,058.00$12,696.00
Ooma (Office Pro)$24.95 per user$1,147.70$13,772.40
Dialpad (Standard)$27.00 per user$1,242.00$14,904.00
RingCentral (RingEX Core)$30.00 per user$1,380.00$16,560.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in New York

New York has 23 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so an assisted living community can hold a number in more than one of them.

Area codes in New York by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
212784Eastern1947332, 646, 917
347784Eastern1999465, 718, 917, 929
516783Eastern1951363
845783Eastern2000329
917783Eastern1992212, 332, 646, 347, 465, 718, 929
631782Eastern1999934
315781Eastern1947680
646781Eastern1999212, 332, 917
718779Eastern1984347, 465, 917, 929
518775Eastern1947838
716767Eastern1947624
929706Eastern2011347, 465, 718, 917
914704Eastern1947none
585675Eastern2001none
607548Eastern1954none
838227Eastern2017518
680210Eastern2017315
332159Eastern2017212, 646, 917
934131Eastern2016631
32969Eastern2023845

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for assisted living facilities for the elderly in New York

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

Porting a number you already use in New York is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many assisted living facilities for the elderly are in New York?

557 in 2023, according to Census County Business Patterns. They employed 25,355 people in mid-March.

Which New York metro area has the most assisted living facilities for the elderly?

New York, NY-NJ, with 430 establishments in 2023.

What does a phone system cost a 46-person assisted living community?

$1,380.00 a month on RingCentral RingEX Core or $1,147.70 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $919.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a New York number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.