CallataGuidesBusiness phone system for home health care agencies in San Francisco, CA
Home health care agencies in the San Francisco-Oakland-Fremont, CA metro area: 478 establishments in 2023, the local area codes, and what phone service costs a 34-person team.
- Establishments
- 478CBP 2023
- Employees
- 16,435mid-March 2023
- Per 100k residents
- 10.3U.S. 12.0
- Rank
- 18th of 743areas by count
The home health agency market in San Francisco, CA
There were 478 home health care agencies in the San Francisco-Oakland-Fremont, CA metro area in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 16,435 people in mid-March and paid $985.1 million in annual payroll. By establishment count the area is 18th out of 743 areas with published figures for home health care agencies.
Measured against its 4.6 million residents (2024 estimate), the area has 10.3 home health care agencies per 100,000 people; the U.S. rate is 12.0, so San Francisco, CA is 14.2% below the national figure. The average establishment here has 34.4 employees, compared with 39.7 nationally. Payroll per employee comes to $59,941, 57.4% above the national $38,091.
| Measure | San Francisco, CA | California | United States |
|---|---|---|---|
| Establishments | 478 | 5,577 | 40,762 |
| Mid-March employees | 16,435 | 138,278 | 1,618,759 |
| Annual payroll | $985,135,000 | $5,982,445,000 | $61,660,393,000 |
| Employees per establishment | 34.4 | 24.8 | 39.7 |
| Payroll per employee | $59,941 | $43,264 | $38,091 |
| Establishments per 100,000 residents | 10.3 | 14.1 | 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.
Team sizes at home health care agencies in San Francisco, CA
Of the home health care agencies in San Francisco, CA that had employees in March 2023, 39.2% had fewer than five (the U.S. share is 35.7%). 53.3% had fewer than ten. When a business has only a few people, whoever is free answers the phone, and calls that arrive while everyone is busy go to voicemail unless they are routed somewhere else.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 186 | 39.2% | 35.7% |
| 5–9 employees | 67 | 14.1% | 11.8% |
| 10–19 employees | 69 | 14.5% | 14.8% |
| 20–49 employees | 79 | 16.6% | 20.2% |
| 50 or more employees | 74 | 15.6% | 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 San Francisco, CA 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 San Francisco, CA might handle in a typical week include:
- A hospital discharge planner calls with a new referral.
- A family member calls to ask what time the nurse will arrive.
- A clinician in the field calls the office about a schedule change.
What home health care agencies text about
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 San Francisco, CA
The average home health agency in San Francisco, CA has 34.4 employees, so a 34-person team is a reasonable benchmark. On a per-user plan that headcount sets the bill: $848.30 a month on Ooma Office Pro or $1,020.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $679.00 a month for 34 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $4,092 less than RingCentral for a home health agency in San Francisco, CA 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 | $679.00 | $8,148.00 |
| Quo (Starter) | $19.00 per user | $646.00 | $7,752.00 |
| Nextiva (Core) | $23.00 per user | $782.00 | $9,384.00 |
| Ooma (Office Pro) | $24.95 per user | $848.30 | $10,179.60 |
| Dialpad (Standard) | $27.00 per user | $918.00 | $11,016.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,020.00 | $12,240.00 |
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 San Francisco, CA
NANPA records place the exchanges of the area's named cities and towns in 6 area codes. 415 has the most, with 628 of 1,734 exchanges (36%). A local number lets patients and families in San Francisco, CA 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 |
|---|---|---|---|---|
| 415 | 628 | Pacific | 1947 | 628 |
| 925 | 514 | Pacific | 1998 | none |
| 650 | 268 | Pacific | 1997 | none |
| 510 | 170 | Pacific | 1991 | 341 |
| 628 | 131 | Pacific | 2015 | 415 |
| 341 | 23 | Pacific | 2019 | 510 |
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.
Setting up Callata for a home health agency in San Francisco, CA
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 San Francisco, CA 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 San Francisco, CA?
Census County Business Patterns counted 478 home health care agencies in the San Francisco-Oakland-Fremont, CA metro area in 2023. They employed 16,435 people in mid-March.
What does a business phone system cost for a 34-person home health agency?
At month-to-month list prices checked September 28, 2026, 34 users cost $1,020.00 a month on RingCentral RingEX Core and $848.30 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $679.00.
What area code should a home health agency in San Francisco, CA use?
Area code 415 has the most assigned exchanges among the area's named places, followed by 925 and 650. 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.