CallataGuidesBusiness phone system for home health care agencies in Richmond, VA
Home health care agencies in the Richmond, VA metro area: 191 establishments in 2023, the local area codes, and what phone service costs a 27-person team.
- Establishments
- 191CBP 2023
- Employees
- 5,200mid-March 2023
- Per 100k residents
- 13.9U.S. 12.0
- Rank
- 38th of 743areas by count
Home health care agencies in Richmond, VA by the numbers
There were 191 home health care agencies in the Richmond, VA metro area in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 5,200 people in mid-March and paid $203.1 million in annual payroll. By establishment count the area is 38th out of 743 areas with published figures for home health care agencies.
Measured against its 1.4 million residents (2024 estimate), the area has 13.9 home health care agencies per 100,000 people; the U.S. rate is 12.0, so Richmond, VA is 16.3% above the national figure. The average establishment here has 27.2 employees, compared with 39.7 nationally. Payroll per employee comes to $39,063, 2.6% above the national $38,091.
| Measure | Richmond, VA | Virginia | United States |
|---|---|---|---|
| Establishments | 191 | 1,478 | 40,762 |
| Mid-March employees | 5,200 | 40,875 | 1,618,759 |
| Annual payroll | $203,128,000 | $1,441,550,000 | $61,660,393,000 |
| Employees per establishment | 27.2 | 27.7 | 39.7 |
| Payroll per employee | $39,063 | $35,267 | $38,091 |
| Establishments per 100,000 residents | 13.9 | 16.8 | 12.0 |
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.
How big home health care agencies in Richmond, VA are
Of the home health care agencies in Richmond, VA that had employees in March 2023, 35.3% had fewer than five (the U.S. share is 35.7%). 47.4% had fewer than ten. For a business of a few people, phone coverage is a staffing question as much as a technology one: someone has to be free to pick up, or the call needs somewhere sensible to go.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 67 | 35.3% | 35.7% |
| 5–9 employees | 23 | 12.1% | 11.8% |
| 10–19 employees | 23 | 12.1% | 14.8% |
| 20–49 employees | 42 | 22.1% | 20.2% |
| 50 or more employees | 35 | 18.4% | 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 Richmond, VA 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. That holds for home health care agencies in Richmond, VA as much as anywhere.
A few of the calls that come in to home health care agencies in Richmond, VA:
- A patient calls to report a missed visit.
- A hospital discharge planner calls with a new referral.
- A family member calls to ask what time the nurse will arrive.
Business texting for home health care agencies
Agencies use texting to confirm visit windows with patients and families.
Team texting on Callata runs from your business number, so replies come from the practice or shop rather than someone's personal phone. It turns on after the one-time $49 carrier registration (10DLC) is approved.
What a phone system costs a home health agency in Richmond, VA
The average home health agency in Richmond, VA has 27.2 employees, so a 27-person team is a reasonable benchmark. On a per-user plan that headcount sets the bill: $673.65 a month on Ooma Office Pro or $810.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $539.00 a month for 27 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $3,252 less than RingCentral for a home health agency in Richmond, VA of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $539.00 | $6,468.00 |
| Quo (Starter) | $19.00 per user | $513.00 | $6,156.00 |
| Nextiva (Core) | $23.00 per user | $621.00 | $7,452.00 |
| Ooma (Office Pro) | $24.95 per user | $673.65 | $8,083.80 |
| Dialpad (Standard) | $27.00 per user | $729.00 | $8,748.00 |
| RingCentral (RingEX Core) | $30.00 per user | $810.00 | $9,720.00 |
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.
Which area code to use in Richmond, VA
NANPA records place the exchanges of the area's named cities and towns in 5 area codes. 804 has the most, with 461 of 489 exchanges (94%). A local number lets patients and families in Richmond, VA call without dialing out of area. Callata includes up to 3 local numbers, and which numbers are open in an area code depends on carrier inventory when you choose.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 804 | 461 | Eastern | 1973 | 686 |
| 686 | 19 | Eastern | 2024 | 804 |
| 757 | 4 | Eastern | 1996 | 948 |
| 434 | 4 | Eastern | 2001 | none |
| 948 | 1 | Eastern | 2022 | 757 |
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
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
Porting a number you already use in Richmond, VA 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 there in Richmond, VA?
Census County Business Patterns counted 191 home health care agencies in the Richmond, VA metro area in 2023. They employed 5,200 people in mid-March.
What does a business phone system cost for a 27-person home health agency?
At month-to-month list prices checked September 28, 2026, 27 users cost $810.00 a month on RingCentral RingEX Core and $673.65 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $539.00.
What area code should a home health agency in Richmond, VA use?
Area code 804 has the most assigned exchanges among the area's named places, followed by 686 and 757. If you already have a local number, you can port it to Callata for free.
Can an AI receptionist answer calls for a home health agency?
Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. 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.