CallataGuides

Business phone system for home health care agencies in North Dakota

42 home health care agencies operated in North Dakota in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
42CBP 2023
Employees
950mid-March 2023
Per 100k residents
5.3U.S. 12.0
State rank
49th of 51by count

The home health agency industry in North Dakota

County Business Patterns counts 42 establishments in North Dakota classified as Home Health Care Services (NAICS 621610) for 2023. They employed 950 people in mid-March and reported $52.7 million in annual payroll. That is the 49th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.17% of the 25,402 business establishments in the state.

Per 100,000 residents (2024 estimate) North Dakota has 5.3 home health care agencies, 56.0% below the national rate of 12.0. The average establishment has 22.6 employees against 39.7 nationally. Payroll per employee is $55,462, 45.6% above the U.S. figure of $38,091.

Home health care agencies: North Dakota compared with the U.S., 2023
MeasureNorth DakotaUnited States
Establishments4240,762
Mid-March employees9501,618,759
Annual payroll$52,689,000$61,660,393,000
Employees per establishment22.639.7
Payroll per employee$55,462$38,091
Establishments per 100,000 residents5.312.0

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 North Dakota

Census published home health agency counts for 4 metro or micropolitan areas that include part of North Dakota. The largest is Fargo, ND-MN, with 13 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 29% 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, North Dakota, 2023
AreaEstablishmentsEmployeesPer 100k residents
Fargo, ND-MN134524.9
Bismarck, ND12—8.6
Grand Forks, ND-MN4—3.8
Wahpeton, ND-MN3—13.1

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

Team sizes at home health care agencies in North Dakota

35.0% of North Dakota's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 60.0% 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 North Dakota by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1435.0%35.7%
5–9 employees1025.0%11.8%
10–19 employees615.0%14.8%
20–49 employees615.0%20.2%
50 or more employees410.0%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.

Calls a home health agency in North Dakota has to catch

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.

A few of the calls that come in to home health care agencies in North Dakota:

Business texting for home health care agencies

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

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

Callata vs. per-seat pricing for home health care agencies in North Dakota

Home health care agencies in North Dakota average 22.6 employees, so the comparison uses a 23-person team. On a per-user plan that headcount sets the bill: $573.85 a month on Ooma Office Pro or $690.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $459.00 a month for 23 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $2,772 less than RingCentral for a home health agency in North Dakota of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 23-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$459.00$5,508.00
Quo (Starter)$19.00 per user$437.00$5,244.00
Nextiva (Core)$23.00 per user$529.00$6,348.00
Ooma (Office Pro)$24.95 per user$573.85$6,886.20
Dialpad (Standard)$27.00 per user$621.00$7,452.00
RingCentral (RingEX Core)$30.00 per user$690.00$8,280.00

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 North Dakota

North Dakota has 1 geographic area code 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 North Dakota by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
701743Central and Mountain1947none

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 North Dakota

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.

Porting a number you already use in North Dakota 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 North Dakota?

42 in 2023, according to Census County Business Patterns. They employed 950 people in mid-March.

Which North Dakota metro area has the most home health care agencies?

Fargo, ND-MN, with 13 establishments in 2023.

What does a phone system cost a 23-person home health agency?

$690.00 a month on RingCentral RingEX Core or $573.85 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $459.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a North Dakota 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.