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A Care of Excellence
101 Aupuni Street, Suite 214, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 99-HCA, valid through June 2028 · state roster dated October 28, 2026
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
Our Hawaii license check found 11 in-home care agencies serving Hilo, each holding an active Hawaii Home Care Agency license. We list them A to Z, with the license number and the date we checked it. Across Hawaii, in-home care runs about $41 an hour, or roughly $3,553 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.
Updated November 2026 · Data: state license rosters, checked October 28, 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.
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101 Aupuni Street, Suite 214, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 99-HCA, valid through June 2028 · state roster dated October 28, 2026
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1289 Kilauea Avenue, Suite E, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 87-HCA, valid through May 2028 · state roster dated October 28, 2026
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260 Kamehameha Avenue, Unit 210, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 130-HCA, valid through June 2028 · state roster dated October 28, 2026
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
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1221 Kilauea Avenue, Suite 60, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 31-HCA, valid through April 2028 · state roster dated October 28, 2026
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145 Keawe Street, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 173-HCA, valid through December 2027 · state roster dated October 28, 2026
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1170 Manono Street, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 137-HCA, valid through August 2028 · state roster dated October 28, 2026
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234 Waianuenue Avenue, Suite 210, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 176-HCA, valid through October 2027 · state roster dated October 28, 2026
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395 Kilauea Avenue, Unit B, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 124-HCA, valid through June 2028 · state roster dated October 28, 2026
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311 Kinoole Street, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 38-HCA, valid through June 2028 · state roster dated October 28, 2026
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514 W. Kawailani Street, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 200-HCA, valid through May 2028 · state roster dated October 28, 2026
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315 Kinoole Street, Hilo, HI 96720
Licensed · Hawaii Home Care Agency license 22-HCA, valid through June 2028 · state roster dated October 28, 2026
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.
11 in-home care agencies serving Hilo, HI hold an active Hawaii Home Care Agency license, as listed in the Hawaii Department of Health public roster dated October 28, 2026. 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 Hawaii, the median rate for in-home care is $41 an hour, about $3,553 a month for 20 hours a week (CareScout 2025).
The 11 agencies on this list are based in 1 ZIP code; the busiest are 96720 (11 agencies). If Hilo has too few choices for your needs, the closest other cities we list are Wailuku (8 agencies, about 123 miles away), Kailua (3 agencies, about 208 miles away) and Honolulu (49 agencies, about 211 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 28, 2026 lists 11 agencies in Hilo with an active Hawaii license. Agencies based in nearby towns may also serve Hilo.
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.
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.
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.