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Business phone system for home health care agencies in Michigan

1,487 home health care agencies operated in Michigan in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,487CBP 2023
Employees
38,980mid-March 2023
Per 100k residents
14.7U.S. 12.0
State rank
7th of 51by count

How many home health care agencies operate in Michigan

The Census Bureau counted 1,487 home health care agencies in Michigan in its 2023 County Business Patterns (NAICS 621610). They employed 38,980 people in mid-March and reported $1.5 billion in annual payroll. That is the 7th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.65% of the 229,564 business establishments in the state.

Per 100,000 residents (2024 estimate) Michigan has 14.7 home health care agencies, 22.4% above the national rate of 12.0. The average establishment has 26.2 employees against 39.7 nationally. Payroll per employee is $37,703, in line with the U.S. figure of $38,091.

Home health care agencies: Michigan compared with the U.S., 2023
MeasureMichiganUnited States
Establishments1,48740,762
Mid-March employees38,9801,618,759
Annual payroll$1,469,681,000$61,660,393,000
Employees per establishment26.239.7
Payroll per employee$37,703$38,091
Establishments per 100,000 residents14.712.0

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.

Home health care agencies by metro area in Michigan

Census published home health agency counts for 32 metro or micropolitan areas that include part of Michigan. The largest is Detroit, MI, with 881 establishments. Single-state metro and micropolitan areas account for 94% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Home health care agencies by metro or micropolitan area, Michigan, 2023
AreaEstablishmentsEmployeesPer 100k residents
Detroit, MI88120,49720.0
Grand Rapids, MI823,3697.0
Lansing, MI612,73312.7
Flint, MI561,75113.9
Ann Arbor, MI461,44812.3
Saginaw, MI4495823.4
Kalamazoo, MI371,12714.0
South Bend, IN-MI307019.2
Jackson, MI1935811.9
Traverse City, MI1943912.1
Marquette, MI1839826.5
Bay City, MI1643415.6
Muskegon, MI157238.5
Midland, MI13—15.5
Niles, MI103786.5
Owosso, MI923313.2
Monroe, MI81445.1
Battle Creek, MI8—6.0
Holland, MI81696.5
Adrian, MI72677.2
Escanaba, MI6—16.4
Alpena, MI613420.8
Marinette, WI-MI51187.6
Mount Pleasant, MI54837.7
Alma, MI5—12.1

Top 25 of 32 areas by establishments. Source: Census CBP 2023.

Team sizes at home health care agencies in Michigan

41.5% of Michigan's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 55.9% 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.

Home health care agencies in Michigan by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees61641.5%35.7%
5–9 employees21514.5%11.8%
10–19 employees19713.3%14.8%
20–49 employees27118.2%20.2%
50 or more employees18712.6%17.6%

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 home health care agencies in Michigan use the phone for

Home health agencies coordinate clinicians in the field with patients, families, physicians and payers, so the office phone is a dispatch line as much as a reception desk. Clinicians need to make calls from their own cell phones without exposing personal numbers.

Calls a home health agency in Michigan might handle in a typical week include:

Business texting for home health care agencies

Agencies use texting to confirm visit windows with patients and families.

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

What a phone system costs a home health agency in Michigan

Home health care agencies in Michigan average 26.2 employees, so the comparison uses a 26-person team. On a per-user plan that headcount sets the bill: $648.70 a month on Ooma Office Pro or $780.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $519.00 a month for 26 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $3,132 less than RingCentral for a home health agency in Michigan of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 26-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$519.00$6,228.00
Quo (Starter)$19.00 per user$494.00$5,928.00
Nextiva (Core)$23.00 per user$598.00$7,176.00
Ooma (Office Pro)$24.95 per user$648.70$7,784.40
Dialpad (Standard)$27.00 per user$702.00$8,424.00
RingCentral (RingEX Core)$30.00 per user$780.00$9,360.00

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 Michigan

Michigan has 13 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a home health agency can hold a number in more than one of them.

Area codes in Michigan by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
248784Eastern1997947
313769Eastern1947679
989724Eastern2001none
734701Eastern1997679
517616Eastern1947none
231572Eastern1999none
586546Eastern2001none
269545Eastern2002none
616545Eastern1947none
810509Eastern1993none
906360Eastern and Central1961none
947211Eastern2002248
6790Eastern2025313

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 home health care agencies in Michigan

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 Michigan 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 home health care agencies are in Michigan?

1,487 in 2023, according to Census County Business Patterns. They employed 38,980 people in mid-March.

Which Michigan metro area has the most home health care agencies?

Detroit, MI, with 881 establishments in 2023.

What does a phone system cost a 26-person home health agency?

$780.00 a month on RingCentral RingEX Core or $648.70 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $519.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Michigan 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.