Licensed In-Home Care Agencies in Niagara Falls, NY

Four in-home care agencies serving Niagara Falls, NY hold an active New York Licensed Home Care Services Agency license, as listed in the New York State Department of Health public roster dated June 5, 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 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 4 agencies on this list are based in 3 ZIP codes; the busiest are 14304 (2 agencies), 14301 (1 agency) and 14303 (1 agency). If Niagara Falls has too few choices for your needs, the closest other cities we list are Tonawanda (3 agencies, about 10 miles away), Buffalo (11 agencies, about 14 miles away) and Amherst (3 agencies, about 15 miles away).