Opens in a new tab

Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.

For agenciesClaim your listing
Find care

The 9 Best In-Home Care Agencies in Louisville, KY

The 9 top-ranked in-home care agencies serving Louisville, KY, ordered by the Care Close to Home Score. Each holds an active Kentucky Personal Services Agency license and has at least 10 public reviews. Village Caregiving ranks first with 5.0 stars from 83 reviews.

Updated November 2026 · Data: state license rosters, checked October 1, 2026 · How we list agencies

9 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Louisville City Partner

This spot is open

One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.

Reserve this spotLearn more
AD
Sponsored

Advertise your agency in Louisville

A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.

See placements
These are the top 9, ranked by the Care Close to Home Score. 87 other licensed agencies serve Louisville, KY and are not listed. How we rank

Not sure who to call?

Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.

Request free help

Nearby in-home care

Guides for families

Cost of care in Kentucky

Median hourly rate$33
20 hrs / week$2,817/mo
40 hrs / week$5,633/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Kentucky

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

Free, no obligation

Get calls from licensed in-home care agencies in Louisville

Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.

We never sell your details, and you can stop at any time.

Permission

Licensed in-home care in Louisville, KY: how to compare agencies

We ranked the top nine in-home care agencies serving Louisville, KY. Every one holds an active Kentucky Personal Services Agency license in the Kentucky Office of Inspector General public roster dated October 1, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 87 licensed agencies serving Louisville, KY are not listed here.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In Kentucky, the median rate for in-home care is $33 an hour, about $2,817 a month for 20 hours a week (CareScout 2025).

The 96 agencies on this list are based in 27 ZIP codes; the busiest are 40218 (11 agencies), 40223 (8 agencies) and 40299 (8 agencies). If Louisville has too few choices for your needs, the closest other cities we list are Prospect (3 agencies, about 10 miles away), La Grange (3 agencies, about 20 miles away) and Frankfort (5 agencies, about 42 miles away).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

More in-home care listings in Kentucky

In-home care in Ashland 3 licensedIn-home care in Barbourville 3 licensedIn-home care in Bowling Green 12 licensedIn-home care in Danville 3 licensedIn-home care in Florence 8 licensedIn-home care in Frankfort 9 licensedIn-home care in Hopkinsville 5 licensedIn-home care in La Grange 9 licensedIn-home care in Lexington 45 licensedIn-home care in London 3 licensedIn-home care in Nicholasville 3 licensedIn-home care in Owensboro 5 licensedIn-home care in Paducah 9 licensedIn-home care in Prospect 9 licensedIn-home care in Richmond 9 licensedIn-home care in Somerset 4 licensedAll Kentucky in-home care listings →

Aging at home in Louisville

Louisville is a river city of roughly 642,000 where older residents are woven into some of the oldest neighborhoods in the Ohio Valley. Old Louisville holds a large collection of Victorian homes, the Highlands and Clifton have walkable commercial streets, and areas like Camp Taylor and the South End are full of long-held family houses. About 13.5 percent of residents are 65 or older. Many seniors here prefer to stay in the multi-story homes and brick cottages they know, which makes help with stairs, housekeeping and meals a common need.

13.5% of residents are 65 or older. Source: Wikipedia age distribution for Louisville city, year not stated.

Neighborhoods and nearby towns

In Louisville, families ask about care in Old Louisville, The Highlands, Clifton, NuLu (East Market District), Downtown, Camp Taylor and West End.

Old LouisvilleThe HighlandsCliftonNuLu (East Market District)DowntownCamp TaylorWest End

Agencies listed here also commonly serve nearby Jeffersonville, IN, Clarksville, IN, Middletown, Crestwood, Shepherdsville and Bardstown. Confirm each agency's service area before you sign.

Familiar places in Louisville

Care that fits the routines of home often means getting to the places that matter: Churchill Downs, Muhammad Ali Center, Louisville Slugger Museum, Louisville Waterfront Park, Cherokee Park and Big Four Bridge.

Planning care in Louisville

Louisville has four real seasons: hot, humid summers with about 38 days a year at 90 degrees or higher, and winters averaging around 13 inches of snow, plus a fair amount of rain through the year. Older Victorian and brick homes in neighborhoods like Old Louisville often have steep stairs, narrow entries and basement laundry, which affects daily routines. The Transit Authority of River City runs the buses, and the Big Four Bridge and river crossings link Kentucky and Indiana, so caregivers sometimes commute across the Ohio River.

Local resources

  • After a hospital stay. If a family member is discharged from Norton Healthcare, UofL Health and Baptist Health, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Free help for families in Louisville

  • Area Agency on Aging: KIPDA Area Agency on Aging and Independent Living, (502) 266-5571. Free advice on in-home services, meals, respite and programs that help pay, for anyone 60 or older and their families.
  • Medicaid help at home: Home and Community Based (HCB) Waiver. A Kentucky Medicaid 1915(c) waiver that helps older adults and people with physical disabilities get support so they can keep living in the community.
  • Coming home from the hospital: if your family member is being discharged from UofL Health and Norton Healthcare or another Louisville hospital, ask the discharge planner to send the referral to an agency you choose from this list. You have the right to pick the agency.

Phone numbers and programs checked against official sources in October 2026. Call ahead, as hours and programs change.

Questions Louisville families ask

How many licensed in-home care agencies are there in Louisville?

The state roster dated October 1, 2026 lists 96 agencies in Louisville with an active Kentucky license. Agencies based in nearby towns may also serve Louisville.

How do I choose an in-home care agency in Louisville?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.

How do families pay for in-home care in Louisville?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.

Free home care planning kit

The agency checklist, a plain-English guide to paying for care and a care cost planner, sent to your inbox.