CallataGuides

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

4,324 agencies providing services for the elderly and persons with disabilities operated in California in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
4,324CBP 2023
Employees
144,870mid-March 2023
Per 100k residents
11.0U.S. 11.8
State rank
1st of 51by count

How many agencies providing services for the elderly and persons with disabilities operate in California

County Business Patterns counts 4,324 establishments in California classified as Services for the Elderly and Persons with Disabilities (NAICS 624120) for 2023. They employed 144,870 people in mid-March and reported $5.0 billion in annual payroll. That is the 1st highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 0.42% of the 1,029,689 business establishments in the state.

Per 100,000 residents (2024 estimate) California has 11.0 agencies providing services for the elderly and persons with disabilities, 7.4% below the national rate of 11.8. The average establishment has 33.5 employees against 37.9 nationally. Payroll per employee is $34,588, 18.9% above the U.S. figure of $29,098.

Agencies providing services for the elderly and persons with disabilities: California compared with the U.S., 2023
MeasureCaliforniaUnited States
Establishments4,32440,265
Mid-March employees144,8701,527,355
Annual payroll$5,010,725,000$44,442,733,000
Employees per establishment33.537.9
Payroll per employee$34,588$29,098
Establishments per 100,000 residents11.011.8

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 agencies providing services for the elderly and persons with disabilities in California are concentrated

Census published in-home care agency counts for 33 metro or micropolitan areas that include part of California. The largest is Los Angeles, CA, with 1,511 establishments. Single-state metro and micropolitan areas account for 99% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Agencies providing services for the elderly and persons with disabilities by metro or micropolitan area, California, 2023
AreaEstablishmentsEmployeesPer 100k residents
Los Angeles, CA1,51153,26711.7
San Francisco, CA61223,87813.2
San Diego, CA37311,16011.3
Riverside, CA33614,2387.1
Sacramento, CA2807,70911.4
San Jose, CA1765,0288.8
Oxnard, CA1094,70213.0
Fresno, CA982,8648.2
Santa Rosa, CA881,48518.1
Bakersfield, CA742,2378.0
Stockton, CA711,8378.7
Vallejo, CA691,99815.2
Santa Maria, CA571,22712.8
Santa Cruz, CA421,45716.0
Chico, CA411,17719.7
Modesto, CA371,3016.6
San Luis Obispo, CA351,18012.4
Salinas, CA324877.3
Visalia, CA285325.8
Redding, CA2869815.5
Napa, CA2693319.6
Eureka, CA2673119.6
Ukiah, CA2650329.2
El Centro, CA2264512.1
Merced, CA183536.1

Top 25 of 33 areas by establishments. Source: Census CBP 2023.

Team sizes at agencies providing services for the elderly and persons with disabilities in California

30.1% of California's agencies providing services for the elderly and persons with disabilities with employees had fewer than five people in March 2023, compared with 35.3% nationally. 45.4% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Agencies providing services for the elderly and persons with disabilities in California by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,30330.1%35.3%
5–9 employees66215.3%15.5%
10–19 employees79618.4%14.7%
20–49 employees95022.0%17.7%
50 or more employees61314.2%16.8%

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 agencies providing services for the elderly and persons with disabilities in California use the phone for

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 an in-home care agency in California might handle in a typical week include:

Texting clients and families

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

Texting from a local number in California requires carrier registration (10DLC), a one-time $49 fee on Callata.

Callata vs. per-seat pricing for agencies providing services for the elderly and persons with disabilities in California

Agencies providing services for the elderly and persons with disabilities in California average 33.5 employees, so the comparison uses a 34-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 34 users on RingCentral RingEX Core cost $1,020.00 a month and 34 on Ooma Office Pro cost $848.30. 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 an in-home care agency in California of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 34-person in-home care agency
Provider (plan)Pricing basisPer monthPer 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.

Area codes in California

California has 41 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so an in-home care agency can hold a number in more than one of them.

Area codes in California by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
408787Pacific1959669
213786Pacific1947323, 738
310786Pacific1991424
323786Pacific1998213, 738
714786Pacific1951657
805786Pacific1957820
909786Pacific1992840
415785Pacific1947628
510785Pacific1991341
559785Pacific1998357
619785Pacific1982858
707785Pacific1959369
760785Pacific1997442
916785Pacific1947279
209784Pacific1958350
530782Pacific1997837
818781Pacific1984747
949745Pacific1998none
626734Pacific1997none
650716Pacific1997none

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 agencies providing services for the elderly and persons with disabilities in California

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.

Porting a number you already use in California 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.

Frequently asked questions

How many agencies providing services for the elderly and persons with disabilities are in California?

4,324 in 2023, according to Census County Business Patterns. They employed 144,870 people in mid-March.

Which California metro area has the most agencies providing services for the elderly and persons with disabilities?

Los Angeles, CA, with 1,511 establishments in 2023.

What does a phone system cost a 34-person in-home care agency?

$1,020.00 a month on RingCentral RingEX Core or $848.30 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $679.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

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