CallataGuidesBusiness phone system for agencies providing services for the elderly and persons with disabilities in Michigan
1,001 agencies providing services for the elderly and persons with disabilities operated in Michigan in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 1,001CBP 2023
- Employees
- 25,982mid-March 2023
- Per 100k residents
- 9.9U.S. 11.8
- State rank
- 13th of 51by count
How many agencies providing services for the elderly and persons with disabilities operate in Michigan
The Census Bureau counted 1,001 agencies providing services for the elderly and persons with disabilities in Michigan in its 2023 County Business Patterns (NAICS 624120). They employed 25,982 people in mid-March and reported $681.9 million in annual payroll. That is the 13th highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 0.44% of the 229,564 business establishments in the state.
Per 100,000 residents (2024 estimate) Michigan has 9.9 agencies providing services for the elderly and persons with disabilities, 16.6% below the national rate of 11.8. The average establishment has 26.0 employees against 37.9 nationally. Payroll per employee is $26,245, 9.8% below the U.S. figure of $29,098.
| Measure | Michigan | United States |
|---|---|---|
| Establishments | 1,001 | 40,265 |
| Mid-March employees | 25,982 | 1,527,355 |
| Annual payroll | $681,907,000 | $44,442,733,000 |
| Employees per establishment | 26.0 | 37.9 |
| Payroll per employee | $26,245 | $29,098 |
| Establishments per 100,000 residents | 9.9 | 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 Michigan are concentrated
Census published in-home care agency counts for 31 metro or micropolitan areas that include part of Michigan. The largest is Detroit, MI, with 433 establishments. Single-state metro and micropolitan areas account for 94% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Detroit, MI | 433 | 14,653 | 9.8 |
| Grand Rapids, MI | 101 | 2,499 | 8.6 |
| Midland, MI | 68 | 428 | 80.9 |
| South Bend, IN-MI | 46 | 1,994 | 14.1 |
| Lansing, MI | 44 | 665 | 9.2 |
| Flint, MI | 44 | 680 | 10.9 |
| Kalamazoo, MI | 31 | 980 | 11.7 |
| Ann Arbor, MI | 29 | 1,353 | 7.8 |
| Saginaw, MI | 18 | 306 | 9.6 |
| Traverse City, MI | 18 | 252 | 11.5 |
| Niles, MI | 17 | 166 | 11.1 |
| Mount Pleasant, MI | 13 | — | 20.0 |
| Jackson, MI | 12 | 510 | 7.5 |
| Muskegon, MI | 10 | 246 | 5.6 |
| Monroe, MI | 10 | 422 | 6.4 |
| Holland, MI | 10 | 232 | 8.2 |
| Battle Creek, MI | 9 | 139 | 6.7 |
| Owosso, MI | 8 | 270 | 11.8 |
| Big Rapids, MI | 8 | — | 19.1 |
| Petoskey, MI | 8 | 64 | 23.6 |
| Bay City, MI | 7 | — | 6.8 |
| Marquette, MI | 6 | 65 | 8.8 |
| Cadillac, MI | 6 | 158 | 12.1 |
| Coldwater, MI | 6 | 140 | 13.0 |
| Alpena, MI | 5 | 52 | 17.3 |
Top 25 of 31 areas by establishments. Source: Census CBP 2023.
Team sizes at agencies providing services for the elderly and persons with disabilities in Michigan
43.1% of Michigan'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. 57.6% 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 | 430 | 43.1% | 35.3% |
| 5–9 employees | 145 | 14.5% | 15.5% |
| 10–19 employees | 148 | 14.8% | 14.7% |
| 20–49 employees | 142 | 14.2% | 17.7% |
| 50 or more employees | 133 | 13.3% | 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.
Why the phone matters for agencies providing services for the elderly and persons with disabilities in Michigan
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.
Typical inbound and outbound calls for agencies providing services for the elderly and persons with disabilities in Michigan:
- A case manager calls with a referral.
- A family calls to ask about care for a parent coming home from the hospital.
- A caregiver calls out sick before a morning shift.
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 Michigan requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 26-person in-home care agency
Agencies providing services for the elderly and persons with disabilities in Michigan average 26.0 employees, so the comparison uses a 26-person team. Priced per seat, 26 users would run $780.00 a month on RingCentral RingEX Core and $648.70 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $519.00 a month for 26 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $3,132 less than RingCentral for an in-home care agency in Michigan 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 | $519.00 | $6,228.00 |
| Quo (Starter) | $19.00 per user | $494.00 | $5,928.00 |
| Nextiva (Core) | $23.00 per user | $598.00 | $7,176.00 |
| Ooma (Office Pro) | $24.95 per user | $648.70 | $7,784.40 |
| Dialpad (Standard) | $27.00 per user | $702.00 | $8,424.00 |
| RingCentral (RingEX Core) | $30.00 per user | $780.00 | $9,360.00 |
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 Michigan
Michigan has 13 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 |
|---|---|---|---|---|
| 248 | 784 | Eastern | 1997 | 947 |
| 313 | 769 | Eastern | 1947 | 679 |
| 989 | 724 | Eastern | 2001 | none |
| 734 | 701 | Eastern | 1997 | 679 |
| 517 | 616 | Eastern | 1947 | none |
| 231 | 572 | Eastern | 1999 | none |
| 586 | 546 | Eastern | 2001 | none |
| 269 | 545 | Eastern | 2002 | none |
| 616 | 545 | Eastern | 1947 | none |
| 810 | 509 | Eastern | 1993 | none |
| 906 | 360 | Eastern and Central | 1961 | none |
| 947 | 211 | Eastern | 2002 | 248 |
| 679 | 0 | Eastern | 2025 | 313 |
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 Michigan
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 Michigan 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 Michigan?
1,001 in 2023, according to Census County Business Patterns. They employed 25,982 people in mid-March.
Which Michigan metro area has the most agencies providing services for the elderly and persons with disabilities?
Detroit, MI, with 433 establishments in 2023.
What does a phone system cost a 26-person in-home care agency?
$780.00 a month on RingCentral RingEX Core or $648.70 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $519.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Michigan 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.