#1
Visiting Angels
2452 Black Rock Tpke Ste 6, Fairfield, CT 06825
★★★★½ 4.7 from 151 Caring.com reviews · Licensed in Connecticut
86.2
Our score
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 Madison, CT itself, so this list ranks the top-rated licensed in-home care agencies serving Madison, CT and the surrounding towns, ordered by the Care Close to Home Score. Each holds an active Connecticut Homemaker-Companion Agency license and has at least 10 public reviews. Visiting Angels - Fairfield ranks first with 4.7 stars from 151 reviews. Ask any agency to confirm it covers your address.
Updated November 2026 · Data: state license rosters, checked October 27, 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
2452 Black Rock Tpke Ste 6, Fairfield, CT 06825
★★★★½ 4.7 from 151 Caring.com reviews · Licensed in Connecticut
86.2
Our score
#2
1062 Barnes Road, Wallingford, CT 06492
★★★★½ 4.7 from 107 Caring.com reviews · Licensed in Connecticut
84.3
Our score
#3
12 Cambridge Dr, Trumbull, CT 06611
★★★★½ 4.6 from 119 Caring.com reviews · Licensed in Connecticut
82.3
Our score
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
20 Ives Rd, Wallingford, CT 06492
★★★★½ 4.7 from 56 Caring.com reviews · Licensed in Connecticut
80.3
Our score
#5
6515 Main St Ste 8Ll, Trumbull, CT 06611
★★★★½ 4.6 from 78 Caring.com reviews · Licensed in Connecticut
80
Our score
#6
152 Saltonstall Pkwy Unit B, East Haven, CT 06512
★★★★½ 4.6 from 74 Caring.com reviews · Licensed in Connecticut
79.7
Our score
#7
49 Sherwood Ter, Old Saybrook, CT 06475
★★★★½ 4.4 from 105 Caring.com reviews · Licensed in Connecticut
76.6
Our score
#8
4 Research Dr Ste 402, Shelton, CT 06484
★★★★½ 4.8 from 25 Caring.com reviews · Licensed in Connecticut
76.3
Our score
#9
1391 Brooklawn Ave, Fairfield, CT 06825
★★★★★ 5.0 from 12 Caring.com reviews · Licensed in Connecticut
72.7
Our score
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.
We never sell your details, and you can stop at any time.
We ranked the top nine in-home care agencies serving Madison, CT. Every one holds an active Connecticut Homemaker-Companion Agency license in the Connecticut Department of Consumer Protection public roster dated October 27, 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 Madison, CT 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 Connecticut, the median rate for in-home care is $36 an hour, about $3,120 a month for 20 hours a week (CareScout 2025).
The 4 agencies on this list are based in 1 ZIP code; the busiest are 06443 (4 agencies). If Madison has too few choices for your needs, the closest other cities we list are Guilford (4 agencies, about 3 miles away), Clinton (3 agencies, about 4 miles away) and Branford (7 agencies, about 10 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 October 27, 2026 lists 4 agencies in Madison with an active Connecticut license. Agencies based in nearby towns may also serve Madison.
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.
The agency checklist, a plain-English guide to paying for care and a care cost planner, sent to your inbox.