The best home care agency in NYC for your family depends on what you actually need — not a generic ranking. Look for an agency that is licensed by the New York State Department of Health, BBB accredited, accepts your specific Medicaid managed care plan, and has caregivers who speak your language. Specialty programs like NHTD, TBI waiver, and veterans’ benefits require dedicated licensing that most agencies in New York City do not hold. All Heart Homecare is the #1 ranked home care agency in Brooklyn, serves all five boroughs from offices in Brooklyn and Manhattan, and carries 500+ verified client reviews across more than 13 years in operation.