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.
| Measure | California | United States |
|---|---|---|
| Establishments | 4,324 | 40,265 |
| Mid-March employees | 144,870 | 1,527,355 |
| Annual payroll | $5,010,725,000 | $44,442,733,000 |
| Employees per establishment | 33.5 | 37.9 |
| Payroll per employee | $34,588 | $29,098 |
| Establishments per 100,000 residents | 11.0 | 11.8 |
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.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Los Angeles, CA | 1,511 | 53,267 | 11.7 |
| San Francisco, CA | 612 | 23,878 | 13.2 |
| San Diego, CA | 373 | 11,160 | 11.3 |
| Riverside, CA | 336 | 14,238 | 7.1 |
| Sacramento, CA | 280 | 7,709 | 11.4 |
| San Jose, CA | 176 | 5,028 | 8.8 |
| Oxnard, CA | 109 | 4,702 | 13.0 |
| Fresno, CA | 98 | 2,864 | 8.2 |
| Santa Rosa, CA | 88 | 1,485 | 18.1 |
| Bakersfield, CA | 74 | 2,237 | 8.0 |
| Stockton, CA | 71 | 1,837 | 8.7 |
| Vallejo, CA | 69 | 1,998 | 15.2 |
| Santa Maria, CA | 57 | 1,227 | 12.8 |
| Santa Cruz, CA | 42 | 1,457 | 16.0 |
| Chico, CA | 41 | 1,177 | 19.7 |
| Modesto, CA | 37 | 1,301 | 6.6 |
| San Luis Obispo, CA | 35 | 1,180 | 12.4 |
| Salinas, CA | 32 | 487 | 7.3 |
| Visalia, CA | 28 | 532 | 5.8 |
| Redding, CA | 28 | 698 | 15.5 |
| Napa, CA | 26 | 933 | 19.6 |
| Eureka, CA | 26 | 731 | 19.6 |
| Ukiah, CA | 26 | 503 | 29.2 |
| El Centro, CA | 22 | 645 | 12.1 |
| Merced, CA | 18 | 353 | 6.1 |
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.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 1,303 | 30.1% | 35.3% |
| 5–9 employees | 662 | 15.3% | 15.5% |
| 10–19 employees | 796 | 18.4% | 14.7% |
| 20–49 employees | 950 | 22.0% | 17.7% |
| 50 or more employees | 613 | 14.2% | 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:
- The office calls a client to confirm a substitute caregiver.
- A family calls to ask about care for a parent coming home from the hospital.
- A family member calls to adjust the weekly schedule.
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.
| 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.
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 code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 408 | 787 | Pacific | 1959 | 669 |
| 213 | 786 | Pacific | 1947 | 323, 738 |
| 310 | 786 | Pacific | 1991 | 424 |
| 323 | 786 | Pacific | 1998 | 213, 738 |
| 714 | 786 | Pacific | 1951 | 657 |
| 805 | 786 | Pacific | 1957 | 820 |
| 909 | 786 | Pacific | 1992 | 840 |
| 415 | 785 | Pacific | 1947 | 628 |
| 510 | 785 | Pacific | 1991 | 341 |
| 559 | 785 | Pacific | 1998 | 357 |
| 619 | 785 | Pacific | 1982 | 858 |
| 707 | 785 | Pacific | 1959 | 369 |
| 760 | 785 | Pacific | 1997 | 442 |
| 916 | 785 | Pacific | 1947 | 279 |
| 209 | 784 | Pacific | 1958 | 350 |
| 530 | 782 | Pacific | 1997 | 837 |
| 818 | 781 | Pacific | 1984 | 747 |
| 949 | 745 | Pacific | 1998 | none |
| 626 | 734 | Pacific | 1997 | none |
| 650 | 716 | Pacific | 1997 | none |
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.