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In-home care in Volusia and Flagler

Help at home ranges from a few hours of companionship to skilled nursing visits. The licenses differ.

Quick answer

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.

Home›Care types›In-home care

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 weekMonthly cost at $32/hourVersus the $5,500 assisted living median
8$1,109less
16$2,219less
24$3,328less
32$4,437less
44$6,101more
60$8,320more
84$11,648more
168$23,296more

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.

CityCountyLicensesLicensed beds / capacity
Daytona BeachVolusia11—
DeLandVolusia8—
Palm CoastFlagler5—
Ormond BeachVolusia11—
Port Orange & Ponce InletVolusia6—
DeltonaVolusia1—
Orange CityVolusia5—
Holly HillVolusia1—
DeBaryVolusia3—
South DaytonaVolusia4—
BunnellFlagler3—
Flagler BeachFlagler1—

At a glance

In-home care in Florida isIn-home care in Florida is not
LicensesAHCA licenses for home health agencies and nurse registriesA single license covering every helper
MedicareSkilled, part-time home healthHourly personal care aides
MedicaidLTC plan services for people who qualifyOpen to everyone without a wait

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