See Medicare's record for each agency: Medicare records for all 24 home health agencies and 2 hospices in Daytona Beach.
What kinds of in-home care are there?
Skilled home health (nursing and therapy visits under a doctor's plan, usually Medicare-paid), private-duty personal care and homemaker help paid by the hour, and companion services; each is delivered under a different Florida license or arrangement.
59 licensed home health agencies list an office in the two counties: 11 in Ormond Beach, 11 in Daytona Beach, 8 in DeLand, 6 in Port Orange. The office address says little about where an agency actually sends nurses.
How are home care providers licensed in Florida?
AHCA licenses home health agencies and nurse registries; a nurse registry refers independent caregivers to clients rather than employing them, so the family may take on employer-like duties, and companion or homemaker services can be offered under other arrangements.
Ask any agency which license it holds, whether caregivers are employees, and who handles payroll taxes, insurance and backup when a caregiver is sick.
What does home care cost?
Florida's 2025 CareScout median for a non-medical home care aide is about $32 an hour, so 20 hours a week costs roughly $2,770 a month and 44 hours a little over $6,100; Medicare-covered home health visits cost an eligible patient nothing.
| Hours of paid help per week | Monthly cost at $32/hour | Versus the $5,500 assisted living median |
|---|---|---|
| 8 | $1,109 | less |
| 16 | $2,219 | less |
| 24 | $3,328 | less |
| 32 | $4,437 | less |
| 44 | $6,101 | more |
| 60 | $8,320 | more |
| 84 | $11,648 | more |
| 168 | $23,296 | more |
How many hours of help does a parent really need?
Count the hours when your parent cannot safely be alone: medication times, bathing, meals and the night; many families begin with 12 to 20 hours a week and add adult day care.
When the honest count includes nights, compare the total with assisted living before committing to round-the-clock care at home.
Where in Volusia and Flagler is in-home care licensed?
AHCA's records put these in-home care licenses in the following cities; agencies have no bed count.
| City | County | Licenses | Licensed beds / capacity |
|---|---|---|---|
| Daytona Beach | Volusia | 11 | — |
| DeLand | Volusia | 8 | — |
| Palm Coast | Flagler | 5 | — |
| Ormond Beach | Volusia | 11 | — |
| Port Orange & Ponce Inlet | Volusia | 6 | — |
| Deltona | Volusia | 1 | — |
| Orange City | Volusia | 5 | — |
| Holly Hill | Volusia | 1 | — |
| DeBary | Volusia | 3 | — |
| South Daytona | Volusia | 4 | — |
| Bunnell | Flagler | 3 | — |
| Flagler Beach | Flagler | 1 | — |
At a glance
| In-home care in Florida is | In-home care in Florida is not | |
|---|---|---|
| Licenses | AHCA licenses for home health agencies and nurse registries | A single license covering every helper |
| Medicare | Skilled, part-time home health | Hourly personal care aides |
| Medicaid | LTC plan services for people who qualify | Open to everyone without a wait |