What Royal Care does

Royal Care (legal entity: The Royal Care Inc.) is a privately held, founder-owned home care agency founded in 1995 and headquartered in Brooklyn, New York. The company provides in-home non-medical and medical support services across four core product lines: Personal Care & Support, Nursing & Therapy, Companionship, and Live-In Care. These are delivered through a workforce of over 10,000 caregivers serving more than 25,000 patients, primarily in the New York metropolitan area, with stated service reach extending into New Jersey, Connecticut, and Pennsylvania. The company operates four physical offices (Brooklyn HQ, Bronx, Flushing, Jamaica) and markets directly to consumers through its website (royalcare.nyc), phone intake, and Google reputation management, claiming a 4.46 rating across 5,000+ reviews.

The business model is direct-to-consumer, quote-based, and recurring: clients purchase individualized care plans priced on care hours and service intensity, with monthly billing. There is no app product, no proprietary AI/ML, and no disclosed API — the technology stack is a standard website licensed from Emerest Technology, LLC with Google Analytics integration. Royal Care supports caregiver retention through a structured benefits stack including Aflac supplemental insurance, a John Hancock 401(k), DailyPay earned-wage access, and the Melody Benefits Card, plus a U@Perks wellness sub-brand. The company is BBB-accredited, operates under New York governing law, and is led by Founder & CEO Josh Klein alongside COO Jack Bernath and Compliance Officer Natali Valenzuela. No external funding, acquisitions, or institutional investors are disclosed; the company appears bootstrapped and self-funded across three decades of operation.

Name

Royal Care

Legal name

The Royal Care Inc.

Website

https://royalcare.nyc

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Royal Care is a Brooklyn-headquartered, founder-owned home care agency founded in 1995 that delivers in-home personal care, nursing, therapy, companionship, and live-in services across the New York metropolitan area, New Jersey, Connecticut, and Pennsylvania through 10,000+ caregivers and four offices.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB)

Keywords

• Home care services
• In-home nursing
• Personal care aides
• Live-in caregivers
• Companionship services

Headquarters

HQ city

Brooklyn

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others, Infrastructure

Revenue model

1. Home Care Services: Royal Care generates revenue through providing home care services to individuals and families. Services include Personal Care & Support, Nursing & Therapy, Companionship, and Live-In Care. Revenue is based on care hours and service plans tailored to individual client needs.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Royal Care is a licensed home care agency that delivers personalized in-home care services to elderly and chronically ill individuals across the New York metropolitan area. Its core offerings are four service lines — Personal Care & Support, Nursing & Therapy, Companionship, and Live-In Care — staffed by 10,000+ certified home health aides and nurses, with intake handled through phone, website forms, and four physical branch offices.

Product overview

Royal Care is a home care agency providing personalized in-home care services across the New York metropolitan area. The company operates a single integrated service platform comprising four core offerings: Personal Care & Support, Nursing & Therapy, Companionship, and Live-In Care. These services are delivered by a network of over 10,000 certified home health aides (HHAs) who provide care ranging from daily activity assistance and household support to medical nursing care and round-the-clock live-in supervision. The company primarily serves patients in Brooklyn, Bronx, Queens, and Jamaica, New York.

Differentiator

Problem solved

Functional benefit

Brands

• U@Perks: Employee wellness and perks program offering beauty services, relaxation, education, and nutrition programs for caregivers.

Products and services

• Personal Care & Support Caregiver support for daily living activities, including bathing and personal hygiene, dressing and grooming, toileting, transferring and positioning, feeding assistance and special diet management, household chores and errands (laundry, light housekeeping, meal preparation, shopping), and medication reminders. For elderly and chronically ill individuals in the New York metro area needing non-medical in-home assistance.
• Nursing & Therapy Skilled in-home medical and rehabilitative care, including gait and balance training, health evaluations and screenings, home safety assessments, respiratory care, wound care, medication management, nutritional management, therapy sessions, and rehabilitation programs. For patients requiring clinical/medical support at home in the New York metro area.
• Companionship Social support delivered by caregivers to reduce isolation and foster healing, including physical and social activities (walks, games, watching television), friendly conversation and stimulation, and building healthy social relationships. For individuals living alone or at risk of social isolation in the New York area.
• Live-In Care Comprehensive 24-hour in-home care delivered by a live-in caregiver, covering medication management, rehabilitation services, other medical needs, meal preparation, laundry, housekeeping, and essential emotional and social support. For clients needing round-the-clock medical, household, and emotional support who wish to remain at home in the New York metro area.
• Home Health Aide Services Certified Home Health Aide (HHA) placements connecting qualified caregivers with patients requiring in-home care, enabling families to access personalized home care for their loved ones. Targeted at patients and families in the New York metropolitan area.

Quantifiable outcome

• 25,000+ patients served
• +3 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Six partnerships are on record, tiered core and minor.

• Emerest Technology, LLCcoreTechnology or IntegrationEmerest Technology, LLC licenses the website platform and related services to Royal Care. The websites, applications, and services are licensed from Emerest Technology, LLC or its affiliates.
• JAMS (Judicial Arbitration and Mediation Services)minorOthersJAMS is used for arbitration procedures to resolve disputes between Royal Care and users. Arbitration is initiated through JAMS following their Streamlined Arbitration Rules and Procedures.
• Aflac InsurancecoreOthersRoyal Care offers Aflac supplemental insurance to caregivers covering costs not included in primary health insurance, including short-term disability, accident, hospital confinement indemnity, critical illness, and life insurance.
• John HancockcoreOthersRoyal Care offers a 401(k) plan through John Hancock to help employees invest in their retirement.
• DailyPayminorOthersRoyal Care partners with DailyPay to provide caregivers with early access to their earned pay with flexible transfer options.
• Melody BenefitscoreOthersRoyal Care offers a Melody Benefits Card to caregivers, adding $1.94 per hour worked to cover transportation, cellphone bills, medical expenses, child care, dental, vision, and other eligible benefits.

Scale indicators8 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Alvita Care: NYC-based home care agency offering personal care, live-in care, and skilled nursing with multilingual staff. Closely comparable to Royal Care in target customer (NYC seniors and families), service breadth, and DTC model.
• All Metro Health Care: New York-based home care agency providing personal care, home health aide, and nursing services across the NY metro. One of Royal Care's most direct local competitors in the same geography with a similar service mix.
• Preferred Home Care of New York: Large New York home care services organization providing certified home health aide, personal care, and nursing services. Direct competitor to Royal Care in the same NYC market with overlapping service lines.

Broad incumbents

• Encompass Health: Large national provider of post-acute care, including home health and hospice services. Comparable to Royal Care's skilled home health and therapy offerings, though with an inpatient rehabilitation portfolio that Royal Care does not operate.
• Amedisys: Public home health and hospice operator providing skilled nursing, therapy, and personal care services across dozens of US states. Comparable to Royal Care's Nursing & Therapy service line, though at much larger scale and with a Medicare-heavy reimbursement model.
• BrightStar Care: Franchise home care agency offering personal care, skilled nursing, and medical staffing across the US. Overlaps with Royal Care's full-service positioning, though franchise-structured rather than centrally owned.
• Visiting Angels: Nationally franchised home care provider offering companion care, personal care, and respite services. Comparable to Royal Care's core personal care and companionship offerings at scale across the US.
• Home Instead: Global home care franchise network providing personal care, companionship, and memory care services. Comparable to Royal Care's service mix, though operating as a franchise model with thousands of independently owned offices.
• Bayada Home Health Care: One of the largest non-profit home health providers in the US, offering personal care, skilled nursing, and therapy services across multiple states. Comparable to Royal Care as a multi-service home care agency, but at national scale and with broader geographic diversification.

Emerging players

• Honor Technology: Tech-enabled home care company using a platform model to operate and partner with local home care agencies. Represents the technology-enabled competitive risk to Royal Care's traditional, non-proprietary model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/royalcarenyc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Royal Care