Business phone system for agencies providing services for the elderly and persons with disabilities

Agencies providing services for the elderly and persons with disabilities in the United States

County Business Patterns counted 40,265 agencies providing services for the elderly and persons with disabilities in the U.S. in 2023 (NAICS 624120, Services for the Elderly and Persons with Disabilities). They employed 1,527,355 people in mid-March and paid $44.4 billion in annual payroll. The average establishment has 37.9 employees. That is 11.8 establishments for every 100,000 residents.

California has the most (4,324), followed by Missouri (3,454), New York (2,729), and Pennsylvania (2,455). Relative to population, Missouri leads with 55.3 per 100,000 residents, and Georgia has the fewest at 6.4.

Why the phone matters for agencies providing services for the elderly and persons with disabilities

Non-medical home care agencies schedule caregivers across many client homes, so the phone is used constantly for shift changes, call-outs and new inquiries. Families looking for care often call several agencies in one afternoon.

Calls agencies providing services for the elderly and persons with disabilities commonly handle:

• A family calls to ask about care for a parent coming home from the hospital.
• A caregiver calls out sick before a morning shift.
• The office calls a client to confirm a substitute caregiver.
• A case manager calls with a referral.
• A family member calls to adjust the weekly schedule.

Texting and after-hours calls

Agencies text caregivers about open shifts and text families when a caregiver is on the way.

Caregiver call-outs often come early in the morning or late at night, so after-hours routing to an on-call coordinator is important.

How big agencies providing services for the elderly and persons with disabilities are

35.3% of U.S. agencies providing services for the elderly and persons with disabilities with employees had fewer than five people in March 2023. 50.9% had fewer than ten. Most phone decisions in this industry are made for small teams, where one shared number and sensible routing matter more than a desk phone per person.

Agencies providing services for the elderly and persons with disabilities by state

Establishment counts for the 51 states (and DC) where Census published a figure, with the rate per 100,000 residents.

Largest metro areas for agencies providing services for the elderly and persons with disabilities

Census published in-home care agency counts for 784 metro and micropolitan areas. The 25 largest:

Phone system pricing for a 38-person in-home care agency

The average U.S. in-home care agency has 37.9 employees, so the comparison uses a 38-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 38 users on RingCentral RingEX Core cost $1,140.00 a month and 38 on Ooma Office Pro cost $948.10. On Callata the same 38 people cost $759.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $4,572. Some vendors discount annual contracts; the table shows month-to-month prices.

How Callata works for agencies providing services for the elderly and persons with disabilities

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.

Existing numbers can be ported at no charge, and team texting turns on after the one-time $49 carrier registration (10DLC) is approved.

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.