Once senior care starts involving meals, transportation, personal hygiene, medication reminders, or supervision during the day, it’s time to consider extra help. In Miami, that can also mean finding care that respects your loved one’s language, routine, neighborhood, and family support system.
AARP found that 75% of adults aged 50 and older want to remain in their current homes as they age, while 73% want to stay in their communities. That is exactly why home care can be such a strong fit for Miami families: it helps your loved one get support without losing the people, places, and daily rhythms that make home feel like home.
This guide compares the best home care Miami has to offer, including each provider’s services, strengths, and ideal fit. You’ll also learn what to consider before bringing care into your loved one’s home.
Key Takeaways
- The right home care option depends on whether your loved one needs non-medical support, skilled home health, or both.
- Language, routine, and neighborhood fit matter as much as the services offered, especially in a city as culturally diverse as Miami.
- Ask how caregivers are screened, trained, and matched before committing to a provider.
- The 2025 national median rate for non-medical caregiving is $35 per hour, though Florida pricing varies by city and schedule.
How We Compared the Best Home Care Options in Miami
We compared these providers on service range, caregiver screening, local coverage, and licensing or accreditation status, using information from each provider’s official site and Google reviews. Here’s how they stack up before the full list below.
| Company | Care Type | Service Area | Best For |
| 2nd Family | Non-medical, RN-supervised | Miami Lakes and surrounding areas | RN Care Coordinators and a secure Family Portal |
| Angel Home Care Services | Non-medical + skilled nursing | Miami-Dade County | Combining non-medical and skilled nursing under one provider |
| CareYaya | Non-medical (registry model) | Miami | Budget-friendly, flexible student caregivers |
| Granny Nannies | Non-medical | Miami-Dade and Monroe counties | 24-hour availability with a low weekly minimum |
| MDT Home Health Care Agency | Skilled home health | Miami-Dade and Monroe counties | Medicare-certified, Joint Commission-accredited clinical care |
| Preferred Care at Home of South Miami | Non-medical | Coral Gables-based | A structured seven-step caregiver screening process |
| Qualicare Home Health Agency | Skilled home health | Miami | Medicaid-certified, physician-directed rehabilitation |
| Right at Home | Non-medical | Miami and surrounding communities | Help navigating long-term care insurance claims |
| Senior Helpers | Non-medical | South Miami, Kendall, and nearby areas | A locally established office serving the area since 2009 |
| The Palace Group | Skilled home health | Miami-Dade and Broward counties | Medicare-certified care for cardiac and diabetes management |
Best Home Care Options in Miami
1. 2nd Family
Best for: RN Care Coordinators and a secure Family Portal
2nd Family is the best home care option in Miami because they expertly match caregivers based on your loved one’s care needs, schedule, home environment, personality, and preferences. If your loved one prefers a certain language, routine, personality, or communication style, 2nd Family can build care around those details instead of sending someone who only matches the schedule.
The Miami Lakes team helps with bathing, dressing, meal preparation, medication reminders, transportation, homemaking, companionship, respite care, and dementia support. Families can also use the secure Family Portal to view schedules, assigned caregivers, completed tasks, and care updates after each visit.
RN Care Coordinators help oversee the care plan and keep caregivers updated when needs change. 2nd Family also helps families with long-term care insurance and VA benefits, including claims, documentation, and next steps.
Types of care offered:
- Companion care
- Homemaking
- Meal preparation
- Medication reminders
- Transportation
- Personal care
- Assistance with activities of daily living
- Dementia care
- Respite care
- RN Care Coordinator oversight
- Family Portal updates
- Long-term care insurance guidance
- VA benefits support
Rating on Google: 5/5
2. Angel Home Care Services, Inc.
Best for: Combining non-medical and skilled nursing under one provider
Angel Home Care Services, Inc. is a Miami-based home health agency serving communities throughout Miami-Dade County. The company provides both non-medical assistance and skilled services from nurses and therapists. Care schedules may range from a few hours per week to hourly, live-in, or 24-hour coverage.
Types of care offered:
- Personal and companion care
- Skilled nursing
- Physical and occupational therapy
- Alzheimer’s and dementia care
- Diabetes care
Rating on Google: 4.9/5
3. CareYaya
Best for: Budget-friendly, flexible student caregivers
CareYaya is a caregiver registry that connects Miami families directly with college students pursuing healthcare careers. It is not a licensed home care agency, and caregivers are hired through the platform rather than employed and supervised as agency staff. Families create an account, submit care requests, and use the platform to coordinate scheduling and communication with matched caregivers.
Types of care offered:
- Companion care
- Respite care
- Overnight and weekend care
- Dementia support
- Meal, mobility, and household assistance
Rating on Google: 4.9/5
4. Granny Nannies
Best for: 24-hour availability with a low weekly minimum
Granny Nannies of Miami is a locally operated home care business serving Miami-Dade and Monroe counties. Services are available 24 hours a day, and the office lists a 15-hour weekly minimum. They state that each client receives a care plan and that caregivers undergo background and credential screening before referral or placement.
Types of care offered:
- Personal and companion care
- 24-hour and overnight care
- Alzheimer’s and Parkinson’s care
- Stroke recovery support
- Hospice and cancer-treatment assistance
Rating on Google: 4.8/5
5. MDT Home Health Care Agency
Best for: Medicare-certified, Joint Commission-accredited clinical care
MDT Home Health Care Agency is a Medicare-certified and Joint Commission-accredited home health agency based in Miami. It serves patients throughout Miami-Dade and Monroe counties and maintains an after-hours emergency line. The agency provides physician-directed clinical care through nurses, therapists, home health aides, and medical social workers.
Types of care offered:
- Skilled nursing
- Physical and occupational therapy
- Speech therapy
- Home health aide services
- Medical social work
Rating on Google: 4.9/5
6. Preferred Care at Home of South Miami
Best for: A structured seven-step caregiver screening process
Preferred Care at Home of South Miami is a locally owned home care agency based in Coral Gables. Families can schedule care for as little as one hour or arrange live-in and 24-hour coverage. The agency develops a personalized plan before care begins and uses a seven-step caregiver screening process.
Types of care offered:
- Personal care
- Companion and homemaker care
- Dementia and Alzheimer’s care
- Live-in and 24-hour care
- Hospital-to-home transition care
Rating on Google: 4.9/5
7. Qualicare Home Health Agency
Best for: Medicaid-certified, physician-directed rehabilitation
QualiCare Home Health Agency is a Miami home health provider offering physician-directed treatment and rehabilitation in patients’ homes. Its clinical staff assess the patient and develop care goals based on the illness, injury, or functional limitation being treated. The agency identifies itself as Medicaid certified, a Medicare long-term provider, and a provider of private-duty services.
Types of care offered:
- Skilled nursing
- Physical therapy
- Occupational therapy
- Speech therapy
- Medical social services
Rating on Google: 5/5
8. Right at Home
Best for: Help navigating long-term care insurance claims
Right at Home Miami is a locally operated franchise that provides in-home care for seniors and adults with disabilities in Miami and surrounding communities. Its caregivers may work in private residences, independent living communities, assisted living facilities, and other residential settings. The office helps clients review long-term care insurance benefits and begin the claims process when applicable.
Types of care offered:
- Companion care
- Personal care
- Alzheimer’s and dementia care
- Hospital-to-home support
- Respite and end-of-life support
Rating on Google: 4.9/5
9. Senior Helpers
Best for: A locally established office serving the area since 2009
Senior Helpers of South Miami and Kendall is a locally operated home care franchise serving Miami, Kendall, South Miami, Coral Gables, Coconut Grove, Pinecrest, Palmetto Bay, Miami Beach, Homestead, and Key Largo. The office opened in 2009 and provides non-medical care in private homes and senior living communities. Families begin with an in-home assessment used to identify the client’s daily support needs and build a care plan.
Types of care offered:
- Companion and personal care
- Alzheimer’s and dementia care
- Parkinson’s care
- Transitional care after hospitalization
- Support for chronic conditions
Rating on Google: 4.8/5
10. The Palace Group
Best for: Medicare-certified care for cardiac and diabetes management
The Palace Group’s The Palace at Home is a Medicare-certified home health agency serving Miami-Dade and Broward counties. It provides short- and long-term services through nurses, therapists, and home health aides. Physician-ordered care can be coordinated for patients who meet Medicare’s home health eligibility requirements.
Types of care offered:
- Skilled nursing
- Physical, occupational, and speech therapy
- Home health aide assistance
- Wound, infusion, and medication care
- Cardiac and diabetes management
Rating on Google: 4.7/5
Choosing the Best Home Care Option in Miami for Your Family
Miami home care is not just about finding someone available. But also about choosing a provider that can match your loved one’s routine, language needs, safety concerns, and level of independence without making the home feel clinical.
For Miami families who want dependable help without losing the personal feel of family care, 2nd Family offers senior support from their Miami Lakes team. Their caregivers can help with companionship, homemaking, personal care, transportation, respite care, and dementia support, so your loved one gets steady help at home while your family stays closely connected.
Home Care Options in Miami FAQs
What is the difference between home care and assisted living?
Home care brings help into your loved one’s current home. Assisted living requires moving into a residential community with staff, meals, and support on-site. Home care is usually the better first step when your loved one mainly needs help with daily routines but can still live safely at home.
What is the average cost of in-home care in Florida?
CareScout lists the 2025 national median rate for non-medical caregiver services at $35 per hour. Florida pricing depends on the city, schedule, care level, and whether your loved one needs daytime, overnight, weekend, or dementia support. Ask each Miami agency for a weekly estimate based on the actual hours and services needed.
Does Medicare pay for in-home care in Florida?
Medicare may cover part-time home health aide care in Florida, but only when your loved one also needs skilled nursing or therapy. It does not cover long-term help with meals, housekeeping, errands, or personal care when that is the only support needed. For ongoing home care, families usually use private pay, long-term care insurance, VA benefits, or Medicaid options.
How to find the best home care in Miami?
Start with the care situation, then narrow the list by:
- Deciding whether your loved one needs companionship, hands-on personal care, dementia support, transportation, or post-hospital help.
- Looking for providers that can match language, schedule, neighborhood, and family communication preferences.
- Asking how caregivers are trained, supervised, and replaced if the match is not right.
- Confirming the agency is licensed in Florida and can serve your part of Miami.
- Getting a written care plan and weekly price estimate before starting.