#1
Friends & Family Home Care Services, Llc
2414 Amsterdam Avenue, New York, NY 10033
★★★★½ 4.9 from 809 Google reviews · Licensed in New York
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
Few agencies are based in Valley Stream, NY itself, so this list ranks the top-rated licensed in-home care agencies serving Valley Stream, NY and the surrounding towns, ordered by the Care Close to Home Score. Each holds an active New York Licensed Home Care Services Agency license and has at least 10 public reviews. Friends & Family Home Care Services ranks first with 4.9 stars from 809 reviews. Ask any agency to confirm it covers your address.
Updated November 2026 · Data: state license rosters, checked June 5, 2026 · How we list agencies

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.
#1
2414 Amsterdam Avenue, New York, NY 10033
★★★★½ 4.9 from 809 Google reviews · Licensed in New York
#2
1368 60th Street, Brooklyn, NY 11219
★★★★★ 5.0 from 161 Google reviews · Licensed in New York
#3
1950 Fulton Street, Brooklyn, NY 11233
★★★★½ 4.9 from 557 Google reviews · Licensed in New York
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
8751 18th Avenue, Brooklyn, NY 11214
★★★★½ 4.9 from 511 Google reviews · Licensed in New York
#5
250 Avenue X, Brooklyn, NY 11223
★★★★★ 5.0 from 106 Google reviews · Licensed in New York
#6
307 Kings Highway, Brooklyn, NY 11223
★★★★½ 4.9 from 236 Google reviews · Licensed in New York
#7
768 39th Street, Brooklyn, NY 11232
★★★★½ 4.8 from 636 Google reviews · Licensed in New York
#8
1664 East 14th Street, Brooklyn, NY 11229
★★★★½ 4.8 from 443 Google reviews · Licensed in New York
#9
30 Broad Street, New York, NY 10004
★★★★½ 4.7 from 114 Caring.com reviews · Licensed in New York
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 helpNon-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
Ways to payFree, no obligation
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.
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We ranked the top nine in-home care agencies serving Valley Stream, NY. Every one holds an active New York Licensed Home Care Services Agency license in the New York State Department of Health public roster dated June 5, 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 0 licensed agencies serving Valley Stream, NY 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 New York, the median rate for in-home care is $35 an hour, about $3,033 a month for 20 hours a week (CareScout 2025).
The 7 agencies on this list are based in 2 ZIP codes; the busiest are 11581 (5 agencies) and 11580 (2 agencies). If Valley Stream has too few choices for your needs, the closest other cities we list are Lynbrook (3 agencies, about 2 miles away), Rockville Centre (3 agencies, about 3 miles away) and Hempstead (15 agencies, about 5 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
The state roster dated June 5, 2026 lists 7 agencies in Valley Stream with an active New York license. Agencies based in nearby towns may also serve Valley Stream.
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.
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.
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
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.
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