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Business phone system for home health care agencies in Roanoke, VA

Home health care agencies in the Roanoke, VA metro area: 39 establishments in 2023, the local area codes, and what phone service costs a 36-person team.

Establishments
39CBP 2023
Employees
1,412mid-March 2023
Per 100k residents
12.4U.S. 12.0
Rank
138th of 743areas by count

How many home health care agencies are in Roanoke, VA?

County Business Patterns counts 39 home health care agencies (NAICS 621610, Home Health Care Services) in the Roanoke, VA metro area for 2023. Together they reported 1,412 mid-March employees and $56.8 million of payroll for the year. That ranks 138th of the 743 metro and micropolitan areas where Census published a count for this industry.

With 316,000 residents in the Census 2024 estimate, that is 12.4 home health care agencies per 100,000 people, 3.1% above the national rate of 12.0. Establishments average 36.2 employees, 8.8% below the U.S. average of 39.7. Payroll per employee comes to $40,217, 5.6% above the national $38,091.

Home health care agencies: Roanoke, VA compared with Virginia and the U.S., 2023
MeasureRoanoke, VAVirginiaUnited States
Establishments391,47840,762
Mid-March employees1,41240,8751,618,759
Annual payroll$56,787,000 (moderate noise)$1,441,550,000$61,660,393,000
Employees per establishment36.227.739.7
Payroll per employee$40,217$35,267$38,091
Establishments per 100,000 residents12.416.812.0

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.

Establishment size: home health care agencies in Roanoke, VA

Of the home health care agencies in Roanoke, VA that had employees in March 2023, 23.1% had fewer than five (the U.S. share is 35.7%). 33.3% had fewer than ten. Small teams usually share the phone: the person who answers is often also serving a customer or doing the job, which is when calls get missed.

Home health care agencies in Roanoke, VA by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees923.1%35.7%
5–9 employees410.3%11.8%
10–19 employees615.4%14.8%
20–49 employees1230.8%20.2%
50 or more employees820.5%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.

Why the phone matters for home health care agencies in Roanoke, VA

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 Roanoke, VA as much as anywhere.

A few of the calls that come in to home health care agencies in Roanoke, VA:

When nobody can pick up

Agencies typically need an after-hours path to an on-call staff member, with routine messages captured for the morning.

Business-hours routing in Callata sends calls to voicemail, a teammate's cell or an AI agent once the day ends, and voicemails arrive transcribed with an urgency flag.

What a phone system costs a home health agency in Roanoke, VA

The average home health agency in Roanoke, VA has 36.2 employees, so a 36-person team is a reasonable benchmark. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 36 users on RingCentral RingEX Core cost $1,080.00 a month and 36 on Ooma Office Pro cost $898.20. On Callata the same 36 people cost $719.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $4,332. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 36-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$719.00$8,628.00
Quo (Starter)$19.00 per user$684.00$8,208.00
Nextiva (Core)$23.00 per user$828.00$9,936.00
Ooma (Office Pro)$24.95 per user$898.20$10,778.40
Dialpad (Standard)$27.00 per user$972.00$11,664.00
RingCentral (RingEX Core)$30.00 per user$1,080.00$12,960.00

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.

Local area codes for home health care agencies in Roanoke, VA

NANPA records place the exchanges of the area's named cities and towns in 2 area codes. 540 has the most, with 141 of 153 exchanges (92%). Callata's plan includes up to 3 local numbers; you can pick them in the area codes your patients and families recognize, subject to carrier inventory, or port the number you already have for free.

Area codes in the Roanoke, VA area by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
540141Eastern1995826
82612Eastern2022540

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 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.

If you already have a number in Roanoke, VA, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 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 Roanoke, VA?

Census County Business Patterns counted 39 home health care agencies in the Roanoke, VA metro area in 2023. They employed 1,412 people in mid-March.

What does a business phone system cost for a 36-person home health agency?

At month-to-month list prices checked September 28, 2026, 36 users cost $1,080.00 a month on RingCentral RingEX Core and $898.20 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $719.00.

What area code should a home health agency in Roanoke, VA use?

Area code 540 has the most assigned exchanges among the area's named places, followed by 826. 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.