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.

Licensed In-Home Care Agencies in Fresno, CA

38 licensed in-home care agencies serve Fresno, CA, each with an active state license on the state's public roster. Each listing shows the license number and the date we matched it to the roster, so you can confirm it with the state yourself. Across California, in-home care runs about $40 an hour, or roughly $3,467 a month for 20 hours a week (CareScout 2025), so ask each agency for its own rate in writing. Agencies here are in alphabetical order because too few have the 10 or more public reviews we need before we score a city. California's open roster was last updated in May 2025, so confirm a license with the state before you hire.

Updated November 2026 · Data: state license rosters, checked May 25, 2025 · How we list agencies

38 licensed agencies · listed A-Z
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Fresno 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.

AD
Sponsored

Advertise your agency in Fresno

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

See placements
Listed A-Z, not ranked: no fair public quality data exists for in-home care agencies. How to check an agency

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

Cost of care in California

Median hourly rate$40
20 hrs / week$3,467/mo
40 hrs / week$6,933/mo

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

Paying for in-home care in California

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 Fresno

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 Fresno, CA: how to compare agencies

38 in-home care agencies serving Fresno, CA hold an active state license, as listed in the California Department of Social Services public roster dated May 25, 2025. They are shown in alphabetical order. We do not rank them, because no fair public quality data exists for in-home care agencies and we will not invent a score.

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 California, the median rate for in-home care is $40 an hour, about $3,467 a month for 20 hours a week (CareScout 2025).

The 38 agencies on this list are based in 8 ZIP codes; the busiest are 93710 (9 agencies), 93711 (9 agencies) and 93720 (7 agencies).

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

Free help for families in Fresno

  • Area Agency on Aging: Fresno-Madera Area Agency on Aging (FMAAA), (559) 214-0299. 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: Medi-Cal In-Home Supportive Services (IHSS). Pays for in-home help for Medi-Cal-eligible people who are aged, blind or disabled, as an alternative to out-of-home care so they can stay safely at home.
  • Coming home from the hospital: if your family member is being discharged from Community Medical Centers (Community Regional Medical Center) and Saint Agnes Medical Center or another Fresno 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 Fresno families ask

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

The state roster dated May 25, 2025 lists 38 agencies in Fresno with an active California license. Agencies based in nearby towns may also serve Fresno.

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

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.

Why are the agencies not ranked?

Medicare rates home health agencies and hospices, so we rank those. There are no public quality ratings for non-medical in-home care, so these agencies are listed A-Z with their state license, and we do not rank or score them.

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

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.