CallataGuidesBusiness phone system for agencies providing services for the elderly and persons with disabilities in Massachusetts
846 agencies providing services for the elderly and persons with disabilities operated in Massachusetts in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 846CBP 2023
- Employees
- 32,044mid-March 2023
- Per 100k residents
- 11.9U.S. 11.8
- State rank
- 15th of 51by count
Agencies providing services for the elderly and persons with disabilities in Massachusetts by the numbers
County Business Patterns counts 846 establishments in Massachusetts classified as Services for the Elderly and Persons with Disabilities (NAICS 624120) for 2023. They employed 32,044 people in mid-March and reported $1.3 billion in annual payroll. That is the 15th highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 0.46% of the 183,767 business establishments in the state.
Per 100,000 residents (2024 estimate) Massachusetts has 11.9 agencies providing services for the elderly and persons with disabilities, in line with the national rate of 11.8. The average establishment has 37.9 employees against 37.9 nationally. Payroll per employee is $39,048, 34.2% above the U.S. figure of $29,098.
| Measure | Massachusetts | United States |
|---|---|---|
| Establishments | 846 | 40,265 |
| Mid-March employees | 32,044 | 1,527,355 |
| Annual payroll | $1,251,247,000 | $44,442,733,000 |
| Employees per establishment | 37.9 | 37.9 |
| Payroll per employee | $39,048 | $29,098 |
| Establishments per 100,000 residents | 11.9 | 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 Massachusetts are concentrated
Census published in-home care agency counts for 9 metro or micropolitan areas that include part of Massachusetts. The largest is Boston, MA-NH, with 531 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 32% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Boston, MA-NH | 531 | 20,850 | 10.6 |
| Providence, RI-MA | 207 | 7,370 | 12.2 |
| Worcester, MA | 128 | 3,608 | 14.5 |
| Springfield, MA | 50 | 2,408 | 10.8 |
| Barnstable Town, MA | 28 | 825 | 12.0 |
| Pittsfield, MA | 28 | 1,130 | 21.8 |
| Amherst Town, MA | 24 | 523 | 14.5 |
| Greenfield, MA | 10 | 363 | 14.1 |
| Vineyard Haven, MA | 4 | — | 19.0 |
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 Massachusetts
18.4% of Massachusetts'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. 36.9% 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 | 155 | 18.4% | 35.3% |
| 5–9 employees | 156 | 18.5% | 15.5% |
| 10–19 employees | 177 | 21.0% | 14.7% |
| 20–49 employees | 184 | 21.8% | 17.7% |
| 50 or more employees | 171 | 20.3% | 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 Massachusetts 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 Massachusetts as much as anywhere.
A few of the calls that come in to agencies providing services for the elderly and persons with disabilities in Massachusetts:
- A case manager calls with a referral.
- 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.
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 Massachusetts requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 38-person in-home care agency
Agencies providing services for the elderly and persons with disabilities in Massachusetts average 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. Callata comes to $759.00 a month for 38 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $4,572 less than RingCentral for an in-home care agency in Massachusetts 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 | $759.00 | $9,108.00 |
| Quo (Starter) | $19.00 per user | $722.00 | $8,664.00 |
| Nextiva (Core) | $23.00 per user | $874.00 | $10,488.00 |
| Ooma (Office Pro) | $24.95 per user | $948.10 | $11,377.20 |
| Dialpad (Standard) | $27.00 per user | $1,026.00 | $12,312.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,140.00 | $13,680.00 |
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 Massachusetts
Massachusetts has 9 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 |
|---|---|---|---|---|
| 978 | 773 | Eastern | 1997 | 351 |
| 781 | 769 | Eastern | 1997 | 339 |
| 617 | 768 | Eastern | 1947 | 857 |
| 508 | 749 | Eastern | 1988 | 774 |
| 413 | 602 | Eastern | 1947 | none |
| 774 | 524 | Eastern | 2001 | 508 |
| 857 | 362 | Eastern | 2001 | 617 |
| 339 | 104 | Eastern | 2001 | 781 |
| 351 | 92 | Eastern | 2001 | 978 |
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 Massachusetts
Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.
Porting a number you already use in Massachusetts 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 Massachusetts?
846 in 2023, according to Census County Business Patterns. They employed 32,044 people in mid-March.
Which Massachusetts metro area has the most agencies providing services for the elderly and persons with disabilities?
Boston, MA-NH, with 531 establishments in 2023.
What does a phone system cost a 38-person in-home care agency?
$1,140.00 a month on RingCentral RingEX Core or $948.10 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $759.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Massachusetts 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.