Business phone system for agencies providing services for the elderly and persons with disabilities in Kentucky
591 agencies providing services for the elderly and persons with disabilities operated in Kentucky in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 591CBP 2023
- Employees
- 12,777mid-March 2023
- Per 100k residents
- 12.9U.S. 11.8
- State rank
- 25th of 51by count
How many agencies providing services for the elderly and persons with disabilities operate in Kentucky
The Census Bureau counted 591 agencies providing services for the elderly and persons with disabilities in Kentucky in its 2023 County Business Patterns (NAICS 624120). They employed 12,777 people in mid-March and reported $400.7 million in annual payroll. That is the 25th highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 0.63% of the 94,402 business establishments in the state.
Per 100,000 residents (2024 estimate) Kentucky has 12.9 agencies providing services for the elderly and persons with disabilities, 8.8% above the national rate of 11.8. The average establishment has 21.6 employees against 37.9 nationally. Payroll per employee is $31,358, 7.8% above the U.S. figure of $29,098.
| Measure | Kentucky | United States |
|---|---|---|
| Establishments | 591 | 40,265 |
| Mid-March employees | 12,777 | 1,527,355 |
| Annual payroll | $400,665,000 | $44,442,733,000 |
| Employees per establishment | 21.6 | 37.9 |
| Payroll per employee | $31,358 | $29,098 |
| Establishments per 100,000 residents | 12.9 | 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 Kentucky are concentrated
Census published in-home care agency counts for 20 metro or micropolitan areas that include part of Kentucky. The largest is Cincinnati, OH-KY-IN, with 282 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 56% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Cincinnati, OH-KY-IN | 282 | 7,389 | 12.2 |
| Lexington, KY | 138 | 2,254 | 25.9 |
| Louisville, KY-IN | 136 | 4,996 | 9.8 |
| Richmond, KY | 38 | 342 | 29.3 |
| Huntington, WV-KY-OH | 37 | 1,587 | 10.1 |
| Bowling Green, KY | 23 | 561 | 11.8 |
| Elizabethtown, KY | 21 | 477 | 16.4 |
| Clarksville, TN-KY | 18 | 482 | 5.2 |
| Paducah, KY-IL | 18 | 178 | 17.6 |
| Somerset, KY | 16 | 375 | 23.9 |
| Frankfort, KY | 15 | 227 | 19.4 |
| Danville, KY | 15 | — | 26.6 |
| Corbin, KY | 13 | 146 | 8.7 |
| Owensboro, KY | 13 | 601 | 11.4 |
| Pikeville, KY | 11 | 239 | 12.2 |
| Murray, KY | 9 | 26 | 23.1 |
| Mayfield, KY | 7 | — | 19.0 |
| Glasgow, KY | 4 | — | 7.1 |
| Campbellsville, KY | 3 | 69 | 7.8 |
| Middlesborough, KY | 3 | 59 | 13.0 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at agencies providing services for the elderly and persons with disabilities in Kentucky
49.0% of Kentucky'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. 63.1% 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 | 289 | 49.0% | 35.3% |
| 5–9 employees | 83 | 14.1% | 15.5% |
| 10–19 employees | 66 | 11.2% | 14.7% |
| 20–49 employees | 84 | 14.2% | 17.7% |
| 50 or more employees | 68 | 11.5% | 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.
Calls an in-home care agency in Kentucky has to catch
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. That holds for agencies providing services for the elderly and persons with disabilities in Kentucky as much as anywhere.
A few of the calls that come in to agencies providing services for the elderly and persons with disabilities in Kentucky:
- A family member calls to adjust the weekly schedule.
- A family calls to ask about care for a parent coming home from the hospital.
- A case manager calls with a referral.
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 Kentucky requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 22-person in-home care agency
Agencies providing services for the elderly and persons with disabilities in Kentucky average 21.6 employees, so the comparison uses a 22-person team. On a per-user plan that headcount sets the bill: $548.90 a month on Ooma Office Pro or $660.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $439.00 a month for 22 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $2,652 less than RingCentral for an in-home care agency in Kentucky 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 | $439.00 | $5,268.00 |
| Quo (Starter) | $19.00 per user | $418.00 | $5,016.00 |
| Nextiva (Core) | $23.00 per user | $506.00 | $6,072.00 |
| Ooma (Office Pro) | $24.95 per user | $548.90 | $6,586.80 |
| Dialpad (Standard) | $27.00 per user | $594.00 | $7,128.00 |
| RingCentral (RingEX Core) | $30.00 per user | $660.00 | $7,920.00 |
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 Kentucky
Kentucky has 5 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 |
|---|---|---|---|---|
| 270 | 769 | Eastern and Central | 1999 | 364 |
| 502 | 735 | Eastern | 1947 | 761 |
| 606 | 639 | Eastern and Central | 1955 | none |
| 859 | 563 | Eastern | 2000 | none |
| 364 | 72 | Eastern and Central | 2014 | 270 |
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 Kentucky
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
Porting a number you already use in Kentucky 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 Kentucky?
591 in 2023, according to Census County Business Patterns. They employed 12,777 people in mid-March.
Which Kentucky metro area has the most agencies providing services for the elderly and persons with disabilities?
Cincinnati, OH-KY-IN, with 282 establishments in 2023.
What does a phone system cost a 22-person in-home care agency?
$660.00 a month on RingCentral RingEX Core or $548.90 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $439.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Kentucky 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.