Browse major home care agencies and operators. Compare services, caregivers, and local offices across the United States.
33,000+ home care agencies nationwide | 1.36 million home care workers
Home care operators are companies that provide non-medical care services to seniors in their own homes. These operators range from national franchises with thousands of locations to regional agencies serving specific communities.
As of 2026, there are over 33,000 home care agencies operating in the United States, according to the National Association for Home Care & Hospice (NAHC). Major operators typically offer services through franchise locations or corporate-owned offices, providing caregivers who assist with daily activities, companionship, and light housekeeping.
Total Locations
642
States Served
50
Headquarters: Bryn Mawr, PA
Total Locations
535
States Served
47
Headquarters: Omaha, NE
Total Locations
510
States Served
50
Headquarters: Omaha, NE
Total Locations
440
States Served
45
Headquarters: Dayton, OH
Total Locations
318
States Served
43
Headquarters: Towson, MD
Total Locations
314
States Served
41
Headquarters: Gurnee, IL
Total Locations
288
States Served
44
Headquarters: Fort Wayne, IN
Total Locations
288
States Served
43
Headquarters: Sunrise, FL
Total Locations
176
States Served
31
Headquarters: Greenwood Village, CO
Total Locations
130
States Served
30
Headquarters: Berwyn, PA
Total Locations
71
States Served
15
Headquarters: Bloomfield Hills, MI
Total Locations
34
States Served
15
Headquarters: Vernon Hills, IL
Check that the agency is licensed by your state (requirements vary by state) and accredited by organizations like the Joint Commission or ACHC.
Inquire about background checks, training requirements, and ongoing supervision. Caregivers should be bonded and insured.
Ask about hourly rates, minimum hour requirements, overtime charges, and what happens if you need to cancel or reschedule.
Check Google reviews, Yelp, and specialized sites like Caring.com and A Place for Mom to see what other families experienced.
Request to meet potential caregivers before service begins to ensure personality and compatibility with your loved one.
Home care provides non-medical assistance with daily activities like bathing, dressing, meal preparation, and companionship. Home health care provides skilled medical services at home including nursing, physical therapy, and medication management ordered by a physician. Home care agencies employ caregivers while home health agencies employ licensed nurses and therapists.
Home care costs average $25-35 per hour nationally, though rates vary significantly by location, services needed, and agency. Most agencies have minimum hour requirements (2-4 hours per visit). Some agencies charge more for weekends, holidays, or overnight care. Many offer discounts for 24/7 live-in care.
Both have advantages. National franchises often have consistent training, technology platforms, backup caregiver availability, and established quality standards. Local agencies may offer more personalized service, flexibility, and community connections. What matters most is the specific agency's licensing, caregiver screening process, supervision, and reviews from local families.
Check that the agency is licensed by your state (requirements vary). Verify they conduct background checks, provide caregiver training, and carry liability insurance and workers' compensation. Ask about caregiver screening processes, supervision, and how they handle emergencies. Read online reviews and check for complaints with your state's regulatory agency.