What Are the Top Home Healthcare Franchises? A 2025 Guide

The top home healthcare franchises are excellent starting points if you want reliable assistance throughout the United States and beyond. Although some people initially believe it is cheaper and easier to hire care providers directly, this is a riskier approach that can cause inconsistent results. In contrast, home healthcare franchises require all location owners and caregivers to meet stringent standards, assuring potential or current clients of trustworthy outcomes.

What Are the Top Home Healthcare Franchises?

Before choosing a home healthcare franchise, it’s important to understand the main types available. Then, you can consider which best fits your current needs.

These franchises generally provide services spanning three categories:

●      Private-duty nursing care: This medical service involves nurses visiting clients’ homes to assist with disease management, vital sign monitoring and medication administration.

●      Home healthcare: Many agencies’ caregivers offer home healthcare services to support people recovering from illnesses or injuries. These parties ensure clients adhere to doctors’ orders and take prescribed medications. Some also assist with physical, occupational or speech therapy.

●      Homecare: This category comprises non-medical support. It may benefit clients looking for regular companionship, help with cooking and cleaning and assistance getting to their appointments.

Although all the franchises below offer home healthcare, most also provide home care, and some locations have skilled services like nurse-delivered options. Listing your needs or those of a loved one while simultaneously evaluating aspects such as your budget and the visit frequency required will help you feel confident about finding the top home healthcare providers for your situation.

1. HomeWell Care Services

Franchise footprint: More than 70 franchisees representing over 140 United States territories

Franchising since: 2003

People deal with changing abilities throughout their lives. Sometimes, they find it increasingly challenging to function well independently but strongly desire to stay in a familiar place. HomeWell Care Services assists this population segment. 

Personalized, in-home care plans cater to people’s specific needs. There are also signature offerings for fall prevention, life enrichment and post-medical care. Visits from HomeWell Care Services can include help around the house, companionship and assistance with more advanced health issues. Additionally, clients can choose the frequency, from 24/7 care to scheduled support. 

Assessments from the HomeWell team account for factors such as personal and holistic goals for in-home care, the person’s mobility level, and chronic or acute conditions. Clients can also change the frequency of care at any time, giving them peace of mind knowing that assistance is there whenever needed. Caregivers provide optimal client experiences by adjusting to individual requirements while providing cost-effective, flexible solutions.

2. Home Instead

Franchise footprint: More than 1,000 locations in 13 countries

Franchising since: 1995

Although some things change with age, people always appreciate comfort, security and connection. Home Instead’s trained care professionals help people stay safe and content while living in familiar environments. 

Nurse-directed care can help clients stay on top of their wound care routines or check their blood sugar regularly. Additionally, people can get help tidying their homes or cooking nutritious meals, giving them more time to enjoy life.

Whether you or a loved one needs medication reminders, transport to doctor’s appointments or support transitioning from hospital care, Home Instead can support. Additionally, ongoing assessments mean clients can get care additions or adjustments over the long term. 

Individualized care enables people to feel dignified and well-supported while remaining in the places they know and love.

Since services vary by location, you should contact the Home Instead franchises in your area to confirm the availability of desired offerings.

3. Assisting Hands Home Care

Franchise footprint: Throughout the United States, with locations soon opening in Canada

Franchising since: 2006

The idea for Assisting Hands Home Care emerged when one of its founders combined her career of coordinating and leading healthcare programs with the personal challenges of finding assistance for her father while he continued living in his home. These experiences illuminated a care gap, which eventually led her to launch this franchise.

The company has a prescreened pool of assistants, facilitating caregiver matches within 48 hours of a new request. While in a client’s home, providers balance care for a client’s well-being with respect for their independence. 

The Assisting Hands Home Care team understands that while friends and family have valuable roles in individuals' lives, they cannot do everything. It is sometimes necessary to seek support from professionals.

All initial client assessments include interactions with a care coordinator who will learn more about the person’s needs, goals and challenges. Although home care is the company’s primary operating model, some franchise locations offer skilled care for cancer recovery or chronic disease management.

Choosing From the Top Healthcare Franchises

Always begin your search for home healthcare by considering your priorities, whether it’s having in-home medical care or professional support with everyday tasks. Those personalized factors will guide your decisions and help you feel confident about the future.