Licensed home care agency · Private pay · All five boroughs

Private Home Care in NYC, On your Family's Schedule

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.

  • Care can start within 48 hours
  • No long-term contract

Get a Free Consultation!

Our care coordinator will call you back..

By submitting this form, you agree to our Privacy Policy and Terms & Conditions.

Licensed home care agency · Private pay · All five boroughsLicensed home care agency · Private pay · All five boroughs

Private Home Care in NYC, on Your Family’s Schedule

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 Google

Get a Free Consultation!

Our care coordinator will call you back.

Please enter your name.

Please enter a valid 10-digit phone number.

Please enter a valid email address.

I'm interested in:

Please choose one option.

Thank You!

Our care coordinator will call you back soon. Need help right away? Call (718) 306-6602.

"Licensed and insured home care agency icon"
4.8 Google Rating

Trusted by thousands of families across New York City

"Licensed and insured home care agency icon"
14+ Years of Service

Providing compassionate home care throughout NYC

"Licensed and insured home care agency icon"
 Licensed & Insured Agency

Certified caregivers and trained care professionals

When Families Call Us

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

Talk it through with a care coordinator →

Private Home Care Options in NYC

Not sure which fits? Tell us what's going on and we'll recommend one.

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
Learn more →

Skilled care

Adult Private Duty Nursing

One-on-one RN or LPN care for medications, wound care, monitoring and complex conditions.

Best for:
after a hospital stay, complex needs
Schedules:
day, overnight, extended, 24-hour
Learn more →

Benefits help

Home Care for Veterans

VA programs may help pay for care at home for eligible Veterans and some surviving spouses.

Best for:
eligible Veterans and spouses
Covers:
personal care, respite, some skilled care
Learn more →

What Private Home Care Costs in NYC

Pay only for the hours you schedule. [No long-term contract.]

We give you an exact quote on the first call.

Hourly Home Care

Estimated

$30–$45/hour

Home health aide · varies by borough

24-Hour & Live-In Care

Estimated

$600–$840/day

Round-the-clock care, one consistent team

Private Duty Nursing

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.

Applying for Medicaid? Start Care Now.

Many families begin with private pay while their application is processed, then transition once approved. We'll guide you through both.

Get an exact quote

Comparing your options

Assisted Living vs. Private Home Care in NYC

Both help with daily care. The difference is where your parent lives, how much one-on-one attention they get, and what it costs.

30hours
Private home care Changes with the hours you choose $4,550/mo
Assisted living Fixed monthly fee, same at any hours $7,110/mo

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

Key differences between private home care and assisted living
Home careAssisted living
WhereTheir own homeA residence they move into
AttentionOne-on-one caregiverShared staff
ScheduleYou choose hours, up to 24/7Set daily routines
Skilled nursingRN or LPN at homeLimited, varies by license
Getting startedOften [48 hours], no moveTours, waitlists, a move
How you payPrivate pay, Medicaid, VA or long-term care insuranceMostly private pay; Medicaid only in some programs
Memory changesFamiliar home and routine, one consistent caregiverMemory care units cost more
LanguageCaregiver matched by languageDepends on the residence's staff
Social lifeRides to activities and visitsBuilt-in community and events

Home Care Usually Fits

when your parent wants to stay home, needs help for part of the day, or does best with one familiar caregiver.

Assisted Living May Fit

when they want a built-in community or their home can't be made safe.

How Private Home Care Starts

  1. Call or Request a Call Back

    A free, no-pressure conversation

  2. We Recommend Care and Quote

    The right level, schedule and cost

  3. Nurse Assessment and Care Plan

    An RN visits and writes the plan

  4. Caregiver Matched

    By needs, schedule and language

Private care can often begin within [48 hours].

Home Health Aide or Nurse?

Typical duties in New York; exact duties follow the plan of care.

Help with…Home health aideLPNRN
Bathing, dressing, mobilityYesNot typicalNot typical
Meals, light housekeeping, companionshipYesNot typicalNot typical
Medication remindersYesYesYes
Giving medications, wound careNoYesYes
Clinical assessment, care planningNoNoYes

Still not sure? Help me choose →

Get a Free Consultation

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.

  • Free, No Obligation
  • Medicaid, Private Pay and VA
  • English, Spanish and Russian

Prefer to talk now? Call (718) 550-6198

Enter your name.

Enter a 10-digit phone number.

Enter a valid email address.

Choose a borough.

I'm interested in:

By submitting this form, you agree to All Heart Homecare’s Privacy Policy and Terms & Conditions.

Thank you, we got your request

A care coordinator will call you back soon. Need help now? Call (718) 550-6198.

What Families Say About All Heart

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

Read all reviews on Google →

Private Home Care Services: Frequently Asked Questions

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.

All Heart Homecare Agency

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.

Read moreRead Less

What Is Private Pay Home Care?

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.

Why Private Pay Home Care?

Private pay home care comes with a set of benefits:

No Limitations

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.

Around-the-Clock Care

Private pay services will make sure that you or your loved one’s needs are attended to 24/7.

Wide Range of Services

Private pay home care services provide personal care and companionship, as well as professional nursing care visits.

Specialized Care

Caregivers trained for clients with specialized conditions such as Alzheimer’s Disease, diabetes, heart failure and other chronic illnesses.

Monetary Saving

When compared with the cost of a personal care home or assisted-living facility, private pay home care is very affordable.

Why Private Pay Home Care with All Heart Homecare Agency?

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:

1. Assistance with Activities of Daily Living

To ensure your loved one has the individualized attention they deserve.

  • Personal care: bathing/dressing, hygiene, transfers, and ambulation
  • Homemakers/companions
  • Meal preparation
  • Medication reminders
  • Transportation: for shopping, doctor’s visits or other needs
  • Safety supervision

2. Home Health Care

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:

  • Bronchitis / Emphysema
  • Chronic Heart Failure
  • Diabetes
  • Hypertension

In addition to highly-qualified services, we offer flexible pricing plans to meet your financial capabilities without breaking the bank.