CallataGuidesBusiness phone system for agencies providing services for the elderly and persons with disabilities in North Carolina
1,081 agencies providing services for the elderly and persons with disabilities operated in North Carolina in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 1,081CBP 2023
- Employees
- 28,338mid-March 2023
- Per 100k residents
- 9.8U.S. 11.8
- State rank
- 10th of 51by count
How many agencies providing services for the elderly and persons with disabilities operate in North Carolina
North Carolina had 1,081 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 28,338 people in mid-March and reported $677.9 million in annual payroll. That is the 10th 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 258,169 business establishments in the state.
Per 100,000 residents (2024 estimate) North Carolina has 9.8 agencies providing services for the elderly and persons with disabilities, 17.3% below the national rate of 11.8. The average establishment has 26.2 employees against 37.9 nationally. Payroll per employee is $23,923, 17.8% below the U.S. figure of $29,098.
| Measure | North Carolina | United States |
|---|---|---|
| Establishments | 1,081 | 40,265 |
| Mid-March employees | 28,338 | 1,527,355 |
| Annual payroll | $677,925,000 | $44,442,733,000 |
| Employees per establishment | 26.2 | 37.9 |
| Payroll per employee | $23,923 | $29,098 |
| Establishments per 100,000 residents | 9.8 | 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.
North Carolina's largest markets for agencies providing services for the elderly and persons with disabilities
Census published in-home care agency counts for 37 metro or micropolitan areas that include part of North Carolina. The largest is Charlotte, NC-SC, with 296 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 71% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Charlotte, NC-SC | 296 | 7,003 | 10.3 |
| Virginia Beach, VA-NC | 156 | 2,887 | 8.7 |
| Raleigh, NC | 153 | 3,721 | 9.8 |
| Greensboro, NC | 88 | 1,808 | 11.0 |
| Durham, NC | 65 | 1,754 | 10.5 |
| Winston, NC | 50 | 1,614 | 7.1 |
| Wilmington, NC | 44 | 1,713 | 9.2 |
| Asheville, NC | 40 | 960 | 9.5 |
| Fayetteville, NC | 39 | 784 | 9.9 |
| Hickory, NC | 37 | 697 | 9.9 |
| Greenville, NC | 31 | 858 | 17.1 |
| Burlington, NC | 18 | 605 | 9.8 |
| Rocky Mount, NC | 17 | 488 | 11.6 |
| Shelby, NC | 17 | 369 | 16.6 |
| Wilson, NC | 16 | 594 | 20.0 |
| Pinehurst, NC | 14 | 420 | 12.9 |
| Lumberton, NC | 13 | 313 | 11.0 |
| Goldsboro, NC | 12 | 379 | 10.0 |
| Kinston, NC | 11 | — | 19.9 |
| Elizabeth City, NC | 9 | 158 | 21.7 |
| New Bern, NC | 8 | — | 6.3 |
| North Wilkesboro, NC | 7 | — | 10.6 |
| Washington, NC | 7 | — | 15.7 |
| Anderson Creek, NC | 6 | 75 | 4.1 |
| Albemarle, NC | 6 | 181 | 8.9 |
Top 25 of 37 areas by establishments. Source: Census CBP 2023.
Team sizes at agencies providing services for the elderly and persons with disabilities in North Carolina
32.8% of North Carolina'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. 45.5% 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 | 354 | 32.8% | 35.3% |
| 5–9 employees | 137 | 12.7% | 15.5% |
| 10–19 employees | 163 | 15.1% | 14.7% |
| 20–49 employees | 247 | 22.9% | 17.7% |
| 50 or more employees | 177 | 16.4% | 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 North Carolina
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 North Carolina as much as anywhere.
A few of the calls that come in to agencies providing services for the elderly and persons with disabilities in North Carolina:
- A case manager calls with a referral.
- A family member calls to adjust the weekly schedule.
- The office calls a client to confirm a substitute caregiver.
Calls after closing time
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.
What a phone system costs an in-home care agency in North Carolina
Agencies providing services for the elderly and persons with disabilities in North Carolina average 26.2 employees, so the comparison uses a 26-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 26 users on RingCentral RingEX Core cost $780.00 a month and 26 on Ooma Office Pro cost $648.70. On Callata the same 26 people cost $519.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $3,132. 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 | $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 North Carolina
North Carolina has 10 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 |
|---|---|---|---|---|
| 910 | 785 | Eastern | 1993 | 472 |
| 336 | 783 | Eastern | 1997 | 743 |
| 704 | 782 | Eastern | 1947 | 980 |
| 919 | 781 | Eastern | 1954 | 984 |
| 828 | 724 | Eastern | 1998 | none |
| 252 | 695 | Eastern | 1998 | none |
| 980 | 463 | Eastern | 2001 | 704 |
| 984 | 295 | Eastern | 2012 | 919 |
| 743 | 160 | Eastern | 2016 | 336 |
| 472 | 106 | Eastern | 2022 | 910 |
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 North Carolina
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.
If you already have a number in North Carolina, 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 North Carolina?
1,081 in 2023, according to Census County Business Patterns. They employed 28,338 people in mid-March.
Which North Carolina metro area has the most agencies providing services for the elderly and persons with disabilities?
Charlotte, NC-SC, with 296 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 North Carolina 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.