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Business phone system for home health care agencies in Virginia

1,478 home health care agencies operated in Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,478CBP 2023
Employees
40,875mid-March 2023
Per 100k residents
16.8U.S. 12.0
State rank
8th of 51by count

Home health care agencies in Virginia by the numbers

Virginia had 1,478 home health care agencies in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 40,875 people in mid-March and reported $1.4 billion in annual payroll. That is the 8th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.70% of the 210,842 business establishments in the state.

Per 100,000 residents (2024 estimate) Virginia has 16.8 home health care agencies, 40.0% above the national rate of 12.0. The average establishment has 27.7 employees against 39.7 nationally. Payroll per employee is $35,267, 7.4% below the U.S. figure of $38,091.

Home health care agencies: Virginia compared with the U.S., 2023
MeasureVirginiaUnited States
Establishments1,47840,762
Mid-March employees40,8751,618,759
Annual payroll$1,441,550,000$61,660,393,000
Employees per establishment27.739.7
Payroll per employee$35,267$38,091
Establishments per 100,000 residents16.812.0

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.

Where home health care agencies in Virginia are concentrated

Census published home health agency counts for 14 metro or micropolitan areas that include part of Virginia. The largest is Washington, DC-VA-MD-WV, with 965 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 24% 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, Virginia, 2023
AreaEstablishmentsEmployeesPer 100k residents
Washington, DC-VA-MD-WV96534,34215.0
Virginia Beach, VA-NC40310,05722.5
Richmond, VA1915,20013.9
Roanoke, VA391,41212.4
Lynchburg, VA3773313.9
Kingsport, TN-VA297429.2
Charlottesville, VA2466010.6
Danville, VA2067119.7
Bluefield, WV-VA1930919.7
Winchester, VA-WV133158.7
Harrisonburg, VA133129.4
Martinsville, VA1245119.0
Blacksburg, VA112306.0
Staunton, VA83556.2

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

Team sizes at home health care agencies in Virginia

31.7% of Virginia's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 44.0% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Home health care agencies in Virginia by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees46831.7%35.7%
5–9 employees18112.3%11.8%
10–19 employees24316.5%14.8%
20–49 employees34923.6%20.2%
50 or more employees23515.9%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 Virginia

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 Virginia as much as anywhere.

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

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.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

What a phone system costs a home health agency in Virginia

Home health care agencies in Virginia average 27.7 employees, so the comparison uses a 28-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 28 users on RingCentral RingEX Core cost $840.00 a month and 28 on Ooma Office Pro cost $698.60. On Callata the same 28 people cost $559.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $3,372. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 28-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$559.00$6,708.00
Quo (Starter)$19.00 per user$532.00$6,384.00
Nextiva (Core)$23.00 per user$644.00$7,728.00
Ooma (Office Pro)$24.95 per user$698.60$8,383.20
Dialpad (Standard)$27.00 per user$756.00$9,072.00
RingCentral (RingEX Core)$30.00 per user$840.00$10,080.00

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 Virginia

Virginia has 10 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients and families know, subject to carrier inventory, or port your current number for free.

Area codes in Virginia by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
540786Eastern1995826
757785Eastern1996948
804781Eastern1973686
703775Eastern1947571
571632Eastern2000703
434509Eastern2001none
276373Eastern2001none
826125Eastern2022540
948101Eastern2022757
68631Eastern2024804

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 Virginia

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.

If you already have a number in Virginia, 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 in Virginia?

1,478 in 2023, according to Census County Business Patterns. They employed 40,875 people in mid-March.

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

Washington, DC-VA-MD-WV, with 965 establishments in 2023.

What does a phone system cost a 28-person home health agency?

$840.00 a month on RingCentral RingEX Core or $698.60 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $559.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

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