Scraping Commercial Private-Duty Home Care and Home Health Agency Licensing Directories: State Home Care and Home Health Agency Licensing Databases, Medicare-Certified Home Health Agency (HHA) Provider Databases, Non-Medical Home Care and Companion Care Agency Directories, Home Care Franchise System Directories and Brand Networks, Home Care Software and Scheduling Platform User Databases, and Private-Equity-Backed Home Health Consolidation Platform Directories
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The Home Care and Home Health Industry
The home care and home health industry is one of the fastest-growing sectors in the US healthcare economy, driven by the convergence of an aging population (approximately 10,000+ Americans turn 65 every day, and the 65+ population is projected to reach approximately 80+ million by 2040), strong consumer preference for aging in place (surveys consistently show that 85-90%+ of older adults prefer to receive care in their own homes rather than in institutional settings), policy shifts toward value-based care and hospital-at-home models, and chronic workforce shortages in institutional care settings that push demand toward more flexible home-based care delivery models.
The industry is broadly divided into two major segments that are often confused but operate under very different regulatory frameworks, reimbursement models, and business dynamics. Medicare-certified home health agencies (HHAs) provide skilled medical services (nursing, physical therapy, occupational therapy, speech therapy, and medical social work) to homebound patients under a physician's plan of care, reimbursed primarily by Medicare (which pays for approximately 60-65% of all home health services through its Home Health Prospective Payment System, or HHPPS, using the Patient-Driven Groupings Model, or PDGM, implemented in January 2020) and Medicaid (which pays for home health services through state-administered programs with varying eligibility criteria, covered services, and reimbursement rates). CMS currently lists approximately 11,000-12,000+ Medicare-certified home health agencies in its provider databases, and the total Medicare home health market generates approximately $20-25+ billion in annual Medicare spending.
Private-duty or non-medical home care agencies provide personal care (bathing, dressing, grooming, toileting, mobility assistance), homemaker services (meal preparation, light housekeeping, laundry, shopping), companion care (socialization, transportation, medication reminders, appointment accompaniment), and other non-medical support services to clients who pay privately (out-of-pocket), through long-term care insurance, or through Medicaid home and community-based services (HCBS) waiver programs. The private-duty home care segment includes an estimated 20,000-25,000+ agencies ranging from single-caregiver operations to large franchise networks with hundreds of locations, and generates an estimated $100-120+ billion in annual revenue (including both private-pay and Medicaid HCBS-funded services).
State Licensing and Medicare Provider Databases
Every state regulates home care and home health agencies, but the specific licensing requirements, agency categories, and regulatory frameworks vary significantly from state to state. Some states (like California, New York, and Massachusetts) maintain highly detailed licensing databases with extensive information about each agency, including ownership structure, administrator name and contact information, service types authorized, geographic service area, and compliance history. Other states provide more basic licensing information limited to agency name, address, license number, and license status.
CMS Care Compare (formerly Home Health Compare) provides the most comprehensive publicly available database of Medicare-certified home health agencies, including agency name, address, phone number, ownership type (for-profit, nonprofit, government), star ratings based on quality of patient care measures, patient satisfaction scores from the HHCAHPS (Home Health Consumer Assessment of Healthcare Providers and Systems) survey, and detailed quality metrics including rates of hospitalization, emergency department use, and improvement in patient functional status. Care Compare data can be downloaded in bulk through the CMS data download portal or accessed through the CMS API.
For B2B prospecting, the combination of state licensing databases and CMS Care Compare data allows sophisticated segmentation by agency type (Medicare-certified HHA vs. non-medical home care), ownership structure (for-profit, nonprofit, government, chain-affiliated vs. independent), quality performance (star ratings, quality measure scores), size indicators (patient census, which can be estimated from Medicare claims data published by CMS), and geographic market (service area, state, metropolitan statistical area).
Navigate to CMS Care Compare home health agency search and data downloads, state health department home care agency licensing databases, NAHC (National Association for Home Care and Hospice) member directory, Home Care Association of America (HCAOA) member directory, home care franchise brand directories (Home Instead, Visiting Angels, Right at Home, Comfort Keepers, BrightSpring/Kindred at Home, Interim HealthCare, Amedisys, LHC Group/UnitedHealth Group/Optum), and home care technology vendor user databases (Axxess, WellSky, MatrixCare, Homecare Homebase, PointClickCare). Save database search results and directory listings as CSV, HTML, or PDF. Upload to Email Extractor to extract home care agency administrator, director of nursing, clinical manager, and owner email addresses from CMS, state licensing, and association directories for home care software, staffing, medical supply, and franchise development outreach.
Private Equity Consolidation and Franchise Growth
The home care and home health industry has attracted massive private equity investment over the past decade, driven by the industry's strong secular growth trends, fragmented competitive landscape (with thousands of small independent agencies ripe for consolidation), recurring revenue models (particularly in the Medicaid HCBS-funded segment, where client relationships often last months or years), and relatively capital-light business model (home care agencies require minimal physical infrastructure compared to institutional care providers).
Major PE-backed home health and home care platforms include BrightSpring Health Services (backed by KKR, one of the largest home health and pharmacy services companies in the US following its acquisition of PharMerica and BrightSpring Personal Health), Amedisys (one of the largest publicly traded home health and hospice companies, with approximately 500+ care centers, which has been the subject of acquisition interest from UnitedHealth Group/Optum), LHC Group (acquired by UnitedHealth Group/Optum in 2023 for approximately $5.4 billion, operating approximately 900+ locations), Addus HomeCare (a publicly traded personal care services company focused on Medicaid-funded in-home services), and dozens of smaller PE-backed regional platforms that are actively acquiring independent home care agencies.
The franchise segment of the home care industry has also grown significantly, with home care franchise systems representing some of the largest and fastest-growing franchise concepts in the United States. Home Instead (the largest home care franchise system with approximately 1,200+ franchise locations worldwide), Visiting Angels (approximately 600+ locations), Right at Home (approximately 500+ locations), Comfort Keepers (approximately 450+ locations), BrightStar Care (approximately 350+ locations), and Interim HealthCare (approximately 300+ locations) are among the largest home care franchise brands. These franchise systems maintain brand websites with franchise location directories that provide location-level contact information useful for B2B prospecting targeting individual franchise owners and their local management teams.
