Most popular
Private Pay Home Care
A certified home health aide for bathing, dressing, meals, mobility and companionship.
- Best for:
- daily living help, living alone safely
- Schedules:
- hourly, overnight, live-in, 24/7
Licensed home care serving all five NYC boroughs
We speak your language:
Licensed home care agency · Private pay · All five boroughs
Hourly, overnight and 24/7 home health aides, plus RN and LPN private nursing. No waiting on Medicaid approval. Caregivers who speak Russian, Spanish and English.
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Licensed home care agency · Private pay · All five boroughsLicensed home care agency · Private pay · All five boroughs
Hourly, overnight and 24/7 home health aides, plus RN and LPN private nursing. No waiting on Medicaid approval. Caregivers who speak Russian, Spanish and English.
Rated 4.8 on GoogleOur care coordinator will call you back soon. Need help right away? Call (718) 306-6602.
Trusted by thousands of families across New York City
Providing compassionate home care throughout NYC
Certified caregivers and trained care professionals
If one of these sounds familiar, it's a good time to talk.
A recent fall or close call
Coming home from the hospital or rehab
Living alone with memory changes
You're stretched thin doing it all yourself
Not sure which fits? Tell us what's going on and we'll recommend one.
Most popular
A certified home health aide for bathing, dressing, meals, mobility and companionship.
Skilled care
One-on-one RN or LPN care for medications, wound care, monitoring and complex conditions.
Benefits help
VA programs may help pay for care at home for eligible Veterans and some surviving spouses.
Pay only for the hours you schedule. [No long-term contract.]
We give you an exact quote on the first call.
Estimated
$30–$45/hour
Home health aide · varies by borough
Estimated
$600–$840/day
Round-the-clock care, one consistent team
Estimated
$50–$100/hour
LPN at the lower end, RN at the higher end
Estimated 2026 private-pay ranges. 24-hour care is based on our hourly rates around the clock. Your exact price depends on the borough, the level of care and the schedule; we give you an exact quote on the first call.
Many families begin with private pay while their application is processed, then transition once approved. We'll guide you through both.
Comparing your options
Both help with daily care. The difference is where your parent lives, how much one-on-one attention they get, and what it costs.
About $2,560 a month less than assisted living, and your parent stays home.
New York medians, CareScout Cost of Care Survey 2025. NYC often runs higher; assisted living fees rise with care level.
Not sure? Talk it through with us
| Home care | Assisted living | |
|---|---|---|
| Where | Their own home | A residence they move into |
| Attention | One-on-one caregiver | Shared staff |
| Schedule | You choose hours, up to 24/7 | Set daily routines |
| Skilled nursing | RN or LPN at home | Limited, varies by license |
| Getting started | Often [48 hours], no move | Tours, waitlists, a move |
| How you pay | Private pay, Medicaid, VA or long-term care insurance | Mostly private pay; Medicaid only in some programs |
| Memory changes | Familiar home and routine, one consistent caregiver | Memory care units cost more |
| Language | Caregiver matched by language | Depends on the residence's staff |
| Social life | Rides to activities and visits | Built-in community and events |
when your parent wants to stay home, needs help for part of the day, or does best with one familiar caregiver.
when they want a built-in community or their home can't be made safe.
A free, no-pressure conversation
The right level, schedule and cost
An RN visits and writes the plan
By needs, schedule and language
Private care can often begin within [48 hours].
Typical duties in New York; exact duties follow the plan of care.
| Help with… | Home health aide | LPN | RN |
|---|---|---|---|
| Bathing, dressing, mobility | Yes | Not typical | Not typical |
| Meals, light housekeeping, companionship | Yes | Not typical | Not typical |
| Medication reminders | Yes | Yes | Yes |
| Giving medications, wound care | No | Yes | Yes |
| Clinical assessment, care planning | No | No | Yes |
Tell us a little about who needs care. A care coordinator from All Heart Homecare will call you back to go over options and coverage.
Prefer to talk now? Call (718) 550-6198
A care coordinator will call you back soon. Need help now? Call (718) 550-6198.
★★★★★ 4.8 on Google from 447 reviews
“Our coordinator Darya has been tremendously helpful with finding the right people for our elderly mom. Extremely professional, patient and helpful in many difficult situations.”
Lyudmila M. · Daughter of a client · [Borough] · Home health aide
“I transferred from a different agency. The transfer was completed fast and very professionally. I highly recommend this agency for your loved ones!”
Irina M. · Client · [Borough] · [Care type]
“My nurse Max is so attentive. He helped me measure my vital signs, manage my condition and understand my medications.”
Asya Y. · Client · [Borough] · Private duty nursing
Choosing home care for a loved one is an important decision. These answers can help you better understand how home care works, who qualifies, and how All Heart Homecare supports families across New York City.
Yes, our agency is fully licensed and insured, ensuring the highest standards of care and client protection.
We conduct comprehensive background checks and prioritize hiring compassionate, empathetic, and honest individuals. Our caregivers undergo rigorous training, including specialized instruction for conditions like Alzheimer’s and Parkinson’s diseases.
Our caregivers assist with a wide range of tasks, including personal care, meal preparation, light housekeeping, medication reminders, and accompaniment to appointments. We also offer specialized care for various health conditions.
Care plans are fully customizable and developed in collaboration with clients and their families. We regularly review and adjust plans to accommodate evolving needs, ensuring client satisfaction remains our top priority.
With over 12 years of experience, multiple awards, and a proven track record of providing premium care, we are recognized as a trusted leader in home care services.
In most cases, we can assign a caregiver within 48 hours, allowing care to start without any delay.
This is highly individualized and based on your needs.
Private pay arrangements let you fully control your care plan, schedule, and caregivers. There are no insurance restrictions or coverage limits.
All private pay home health aides have New York State certification, a quarterly knowledge boost, and pass comprehensive background checks and drug screening.
Yes. Although we always strive to create the perfect match between our clients and caregivers based on each patient´s preferences and needs, in the unlikely event a change is required, we will gladly arrange a new caregiver.
Private pay home care includes personal care, companionship, light housekeeping, meal preparation, medication reminders, shopping assistance, and specialized care as needed.
Private home healthcare refers to in-home care services that are paid for directly by the patient or their family, rather than through Medicaid or Medicare. These plans are fully customizable, meaning care hours, tasks, and caregiver schedules are built around the individual’s needs with no insurance restrictions. Private home care services can include personal care, skilled nursing, companionship, and more.
Private home care costs in New York City typically range from $25 to $40 per hour depending on the level of care required. Skilled nursing services, such as those provided by a Licensed Practical Nurse (LPN), tend to sit at the higher end of that range. Costs vary based on the number of hours needed weekly, the type of care, and whether you are working with a licensed private pay home health care agency or an independent caregiver.
The national average for private duty home care runs between $25 and $35 per hour, but in high-cost areas like New York City, families should budget toward the upper end of that range or beyond. Agencies offering private home care services typically bundle insurance, background screening, and caregiver oversight into their rates, which is why agency rates tend to be higher than hiring independently. For many families, that added protection is worth the difference.
Getting started with private pay home health care services begins with identifying the level of care your loved one needs, whether that is personal care assistance, companionship, or skilled nursing. From there, you contact a private pay home care agency directly, which will assess your needs and match a caregiver accordingly. Most agencies do not require insurance pre-authorization, so care can often begin quickly once an assessment is complete.
If you hire through a private care in the home agency, payment is typically made directly to the agency on a weekly or biweekly basis. Independent caregivers are usually paid by the hour in cash, check, or digital transfer, and families are responsible for payroll tax filings if the caregiver qualifies as a household employee. Working with a licensed private home care agency removes this administrative burden entirely.
Provides exceptional, yet affordable private pay in-home care for your elderly loved ones to ensure they remain at home and independent as they age.
Private pay home care is just another type of traditional in-home care. A private pay home attendant visits you or your loved one on a regular basis and helps with day-to-day activities.
This type of in-home care can be provided by the agency or you can hire an independent caregiver.
Private pay home care differs from classic home care by the payment method. As the name “private pay” suggests, your loved one or their family will pay for home care services “out of the pocket” using existing savings or assets, or from a long-term care insurance policy.
Private pay home care comes with a set of benefits:
Unlike Medicaid or Medicare that regulate the amount and types of care you receive private pay home care is totally manage by the patient. You decide how many hours of care to get and what services should be included.
Private pay services will make sure that you or your loved one’s needs are attended to 24/7.
Private pay home care services provide personal care and companionship, as well as professional nursing care visits.
Caregivers trained for clients with specialized conditions such as Alzheimer’s Disease, diabetes, heart failure and other chronic illnesses.
When compared with the cost of a personal care home or assisted-living facility, private pay home care is very affordable.
Remember, at All Heart Homecare we only hire competent staff to provide the specialized care. Before providing the services, we will ask questions to understand your preferences and needs. Based on this information, we’ll match your loved one with the right caregiver.
Our private pay home health aides are trained to perform the following tasks:
To ensure your loved one has the individualized attention they deserve.
Our certified home health aides, supervised by registered nurses, can track vital signs and provide companion care and personal care services for patients with chronic and complex illnesses, including:
In addition to highly-qualified services, we offer flexible pricing plans to meet your financial capabilities without breaking the bank.