CallataGuidesBusiness phone system for agencies providing services for the elderly and persons with disabilities in Missouri
3,454 agencies providing services for the elderly and persons with disabilities operated in Missouri in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 3,454CBP 2023
- Employees
- 29,360mid-March 2023
- Per 100k residents
- 55.3U.S. 11.8
- State rank
- 2nd of 51by count
Agencies providing services for the elderly and persons with disabilities in Missouri by the numbers
Missouri had 3,454 agencies providing services for the elderly and persons with disabilities in 2023, according to Census County Business Patterns (NAICS 624120, Services for the Elderly and Persons with Disabilities). They employed 29,360 people in mid-March and reported $816.2 million in annual payroll. That is the 2nd highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 2.3% of the 151,475 business establishments in the state.
Per 100,000 residents (2024 estimate) Missouri has 55.3 agencies providing services for the elderly and persons with disabilities, 367.1% above the national rate of 11.8. The average establishment has 8.5 employees against 37.9 nationally. Payroll per employee is $27,800, 4.5% below the U.S. figure of $29,098.
| Measure | Missouri | United States |
|---|---|---|
| Establishments | 3,454 | 40,265 |
| Mid-March employees | 29,360 | 1,527,355 |
| Annual payroll | $816,194,000 | $44,442,733,000 |
| Employees per establishment | 8.5 | 37.9 |
| Payroll per employee | $27,800 | $29,098 |
| Establishments per 100,000 residents | 55.3 | 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 Missouri are concentrated
Census published in-home care agency counts for 26 metro or micropolitan areas that include part of Missouri. The largest is St. Louis, MO-IL, with 1,898 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 17% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| St. Louis, MO-IL | 1,898 | 16,546 | 67.5 |
| Kansas City, MO-KS | 724 | 4,954 | 32.1 |
| Springfield, MO | 155 | 3,320 | 31.2 |
| Columbia, MO | 78 | 980 | 35.5 |
| Jefferson City, MO | 47 | 531 | 31.0 |
| Poplar Bluff, MO | 47 | 331 | 112.4 |
| Joplin, MO-KS | 41 | 1,056 | 19.8 |
| Hannibal, MO | 41 | 98 | 105.3 |
| Kennett, MO | 38 | 573 | 140.7 |
| Farmington, MO | 33 | 379 | 48.9 |
| Cape Girardeau, MO-IL | 30 | 1,186 | 30.3 |
| Sedalia, MO | 27 | 161 | 61.7 |
| St. Joseph, MO-KS | 24 | 424 | 20.1 |
| West Plains, MO | 24 | 293 | 58.9 |
| Sikeston, MO | 21 | 579 | 42.2 |
| Rolla, MO | 20 | 286 | 43.8 |
| Quincy, IL-MO | 17 | — | 23.0 |
| Warrensburg, MO | 11 | 103 | 19.7 |
| Moberly, MO | 11 | — | 45.7 |
| Fort Leonard Wood, MO | 8 | 22 | 14.8 |
| Mexico, MO | 8 | 46 | 32.9 |
| Lebanon, MO | 7 | 22 | 19.1 |
| Kirksville, MO | 7 | — | 23.5 |
| Branson, MO | 5 | 100 | 8.8 |
| Marshall, MO | 3 | — | 12.9 |
Top 25 of 26 areas by establishments. Source: Census CBP 2023.
Team sizes at agencies providing services for the elderly and persons with disabilities in Missouri
76.4% of Missouri'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. 84.8% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 2,636 | 76.4% | 35.3% |
| 5–9 employees | 290 | 8.4% | 15.5% |
| 10–19 employees | 189 | 5.5% | 14.7% |
| 20–49 employees | 211 | 6.1% | 17.7% |
| 50 or more employees | 125 | 3.6% | 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 Missouri
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.
A few of the calls that come in to agencies providing services for the elderly and persons with disabilities in Missouri:
- A family member calls to adjust the weekly schedule.
- A caregiver calls out sick before a morning shift.
- A case manager calls with a referral.
When nobody can pick up
Caregiver call-outs often come early in the morning or late at night, so after-hours routing to an on-call coordinator is important.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
Callata vs. per-seat pricing for agencies providing services for the elderly and persons with disabilities in Missouri
Agencies providing services for the elderly and persons with disabilities in Missouri average 8.5 employees, so the comparison uses a 9-person team. Priced per seat, 9 users would run $270.00 a month on RingCentral RingEX Core and $224.55 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 9 people cost $179.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $1,092. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $179.00 | $2,148.00 |
| Quo (Starter) | $19.00 per user | $171.00 | $2,052.00 |
| Nextiva (Core) | $23.00 per user | $207.00 | $2,484.00 |
| Ooma (Office Pro) | $24.95 per user | $224.55 | $2,694.60 |
| Dialpad (Standard) | $27.00 per user | $243.00 | $2,916.00 |
| RingCentral (RingEX Core) | $30.00 per user | $270.00 | $3,240.00 |
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 Missouri
Missouri has 9 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your clients and families know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 573 | 786 | Central | 1996 | 235 |
| 816 | 785 | Central | 1947 | 975 |
| 314 | 783 | Central | 1947 | 557 |
| 417 | 711 | Central | 1950 | none |
| 660 | 516 | Central | 1997 | none |
| 636 | 435 | Central | 1999 | none |
| 557 | 83 | Central | 2022 | 314 |
| 235 | 41 | Central | 2024 | 573 |
| 975 | 28 | Central | 2023 | 816 |
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 Missouri
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.
If you already have a number in Missouri, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.
Frequently asked questions
How many agencies providing services for the elderly and persons with disabilities are in Missouri?
3,454 in 2023, according to Census County Business Patterns. They employed 29,360 people in mid-March.
Which Missouri metro area has the most agencies providing services for the elderly and persons with disabilities?
St. Louis, MO-IL, with 1,898 establishments in 2023.
What does a phone system cost a 9-person in-home care agency?
$270.00 a month on RingCentral RingEX Core or $224.55 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $179.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Missouri 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.