Business phone system for agencies providing services for the elderly and persons with disabilities in Tennessee

The in-home care agency industry in Tennessee

Tennessee had 616 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 17,004 people in mid-March and reported $474.1 million in annual payroll. That is the 23rd highest count among the 51 states and DC with published figures. Agencies providing services for the elderly and persons with disabilities make up 0.41% of the 150,129 business establishments in the state.

Per 100,000 residents (2024 estimate) Tennessee has 8.5 agencies providing services for the elderly and persons with disabilities, 28.0% below the national rate of 11.8. The average establishment has 27.6 employees against 37.9 nationally. Payroll per employee is $27,884, 4.2% below the U.S. figure of $29,098.

Agencies providing services for the elderly and persons with disabilities by metro area in Tennessee

Census published in-home care agency counts for 21 metro or micropolitan areas that include part of Tennessee. The largest is Nashville, TN, with 181 establishments. Single-state metro and micropolitan areas account for 63% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Team sizes at agencies providing services for the elderly and persons with disabilities in Tennessee

31.7% of Tennessee'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. 49.7% 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.

Calls an in-home care agency in Tennessee 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 Tennessee as much as anywhere.

A few of the calls that come in to agencies providing services for the elderly and persons with disabilities in Tennessee:

• 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 caregiver calls out sick before a morning shift.

What agencies providing services for the elderly and persons with disabilities text about

Agencies text caregivers about open shifts and text families when a caregiver is on the way.

Texting from a local number in Tennessee requires carrier registration (10DLC), a one-time $49 fee on Callata.

Phone system pricing for a 28-person in-home care agency

Agencies providing services for the elderly and persons with disabilities in Tennessee average 27.6 employees, so the comparison uses a 28-person team. Priced per seat, 28 users would run $840.00 a month on RingCentral RingEX Core and $698.60 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $559.00 a month for 28 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $3,372 less than RingCentral for an in-home care agency in Tennessee of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Area codes in Tennessee

Tennessee has 8 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.

How Callata works for agencies providing services for the elderly and persons with disabilities in Tennessee

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.

Porting a number you already use in Tennessee 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.