Home care in Brooklyn.

Across the 67 home-care agencies serving Brooklyn in this directory, the service mix tends to skew toward what a dense, multilingual urban borough actually needs: personal care, companion care, post-surgery recovery, dementia and Alzheimer's care, and live-in coverage. A meaningful subset offers specialized services for adults with developmental disabilities aging into older adulthood, mental-health-affiliated care coordination, and post-acute hospital-discharge support. Many Brooklyn agencies advertise multilingual caregivers — Russian, Spanish, Mandarin, Cantonese, Yiddish, Polish, and Haitian Creole are all common. For families coordinating care for a loved one whose first language isn't English, language match is often the single most important factor in caregiver satisfaction.

New York's home-care licensing structure is one of the more developed in the country. Both Licensed Home Care Services Agencies (LHCSAs, the dominant license type for non-Medicare home care in NYC) and Certified Home Health Agencies (CHHAs, the Medicare-certified type) operate in Brooklyn, and the New York State Department of Health's Bureau of Home Care and Hospice oversees both. The license types matter for payment: LHCSAs typically work with Medicaid Managed Long Term Care (MLTC) plans, private pay, and long-term care insurance; CHHAs handle Medicare-certified skilled care. Some agencies hold both.

New York's Medicaid program is the dominant payer for in-home care for eligible Brooklyn seniors, primarily through MLTC plans (Fidelis, VillageCareMAX, Healthfirst Senior Health Partners, Centers Plan, ArchCare, GuildNet, MJHS Elderplan, and several others). Each MLTC plan contracts with a network of LHCSAs; an agency on this page that takes Medicaid is almost always operating through one or more MLTC plan contracts. If your loved one is enrolled in MLTC, the plan's care manager will direct which agencies are in-network; if your loved one is not yet enrolled, the local Department of Social Services or a Medicaid enrollment broker can explain eligibility.

Medicare-certified agencies are surveyed by the federal government and appear in Medicare's Care Compare database with quality star ratings and patient-experience scores.

A geographic note: many Brooklyn-listed agencies serve clients across multiple boroughs — particularly Queens and Manhattan, where caregivers often travel from a Brooklyn-headquartered agency. Confirm in writing the agency's coverage and the rates for caregivers traveling to a non-Brooklyn home address. Use the how-to-verify guide before engaging. We list these agencies for research purposes; we don't rank them or endorse any one of them.