North Country Home Services

What North Country Home Services does

North Country Home Services, Inc. (NCHS) is a private not-for-profit Licensed Home Care Service Agency (LHCSA) headquartered at 25 Church Street in Saranac Lake, New York, operating four regional offices in Saranac Lake, Malone, Plattsburgh, and Ticonderoga. Founded in the late 1960s as a registry of Home Care Aides and formally incorporated in 1982, NCHS received full LHCSA licensure from the NYS Department of Health in 1986. The organization serves elderly, disabled, and chronically ill individuals across five counties (Franklin, Essex, Clinton, Warren, and St. Lawrence) covering more than 6,000 square miles of rural Northeastern New York.

NCHS delivers three core service lines: Home Health Aide (HHA) services, Personal Care Aide (PCA) services, and Registered Nursing services. NYS-certified caregivers provide in-home assistance with activities of daily living — including toileting, meal preparation, dressing, bathing, ambulation, light housekeeping, and transportation — while RNs perform in-home assessments, develop individualized care plans, supervise frontline workers, and coordinate with physicians on at least a semi-annual review cadence. The company supplements direct care with an in-house workforce development pipeline comprising a paid HHA training program, a free PCA training program, and a CNA-to-HHA transition pathway, all taught by NYS-licensed RNs at rotating regional locations.

The business model is a managed-services revenue stream generated through government-funded healthcare programs (Medicaid, Medicare, and other New York State programs), private insurance reimbursement, and private-pay arrangements, with direct-to-consumer distribution via phone, website, physician referrals, and community outreach. The go-to-market is direct-to-consumer with 24-hour on-call nursing support. No pricing tiers, contracts, or financial figures are publicly disclosed, and the organization operates independently with no parent company, holding company, or institutional investors identified.

Name

North Country Home Services

Legal name

North Country Home Services, Inc.

Website

https://nchs.net

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

251–500 employees

Short description

North Country Home Services is a New York State-licensed not-for-profit home care agency delivering Home Health Aide, Personal Care Aide, and Registered Nursing services to elderly and disabled clients across five rural counties in Northeastern New York, supported by four regional offices and an in-house caregiver training pipeline.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health Aide Services (HHA/CNA under Skilled Plan of Care) (HLADAFAF)

akta.pro secondary industries

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB), Home Health Aide (HHA) Services (Medically Directed) (HSABACAB), Home Health Aide (HHA) & Personal Care Aide (PCA) (EDAOAJAM)

Keywords

• Home health care
• Personal care services
• Home health aide
• Nursing services
• Supportive care

Headquarters

HQ city

Saranac Lake

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Home Care Services Revenue: As a private not-for-profit corporation licensed by NYS Department of Health, NCHS generates revenue through government-funded healthcare programs (Medicaid, Medicare, and other state programs), private insurance reimbursement, and private-pay arrangements for individuals requiring home care and supportive services.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

North Country Home Services is a private not-for-profit Licensed Home Care Service Agency (LHCSA) that provides in-home health care and supportive services to elderly, disabled, and chronically ill clients across five counties in Northeastern New York. Its core offerings include Home Health Aide (HHA) and Personal Care Aide (PCA) services that assist with daily living activities, supplemented by Registered Nursing visits for assessments, care planning, and worker supervision. The agency also operates NYS-certified training programs to certify new aides and upskill existing CNAs into HHA roles.

Product overview

North Country Home Services is a private not-for-profit Licensed Home Care Service Agency (LHCSA) providing home health care and supportive services. The company offers a unified service portfolio comprising Home Health Aide (HHA) and Personal Care Aide (PCA) services, supplemented by Registered Nursing Services. These core services are delivered by NYS-certified caregivers who assist clients with daily living activities including bathing, dressing, meal preparation, transportation, and light housekeeping. The company also provides complementary training programs—including a Personal Care Aide Training Program and a CNA-to-HHA Transition Program—that certify new home care workers and support career advancement for existing CNAs. All services are coordinated with physicians and include regular client assessments, with 24-hour on-call nurse support available outside business hours.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Health Aide (HHA) Services Certified Home Health Aides deliver top-of-the-line home care for clients, assisting with daily living activities such as toileting, meal preparation, dressing, bathing, ambulation, light housekeeping, and transportation.
• Personal Care Aide (PCA) Services Certified Personal Care Aides provide assistance with daily living activities including toileting, meal preparation, errands, shopping, dressing, bathing, transfer and ambulation assistance, light housekeeping, transportation, and community integration support.
• Nursing Services Registered Nurses conduct in-home visits to assess, direct, and evaluate client care; develop comprehensive care plans; provide training and supervision for home care workers; coordinate with physicians; and perform client assessments at least every six months.
• Home Health Aide Training Program Paid training classes that prepare individuals to become New York State Certified Home Health Aides, with classroom instruction taught by NYS Licensed Registered Nurses at rotating office locations and mileage reimbursement.
• CNA to HHA Transition Program Training pathway for Certified Nursing Assistants (CNAs) holding a valid NYS CNA certificate to transition to Home Health Aide status.
• Personal Care Aide Training Program Free training program for Personal Care and Home Health Aides in the North Country region, with classes rotating between Plattsburgh, Malone, Saranac Lake, and Ticonderoga, and no obligation to work for NCHS after completion.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• Home Instead (Honor Technology): Home Instead operates the world's largest home care franchise network providing personal care, companionship, and HHA-level services across the US including New York. Comparable to NCHS in direct-to-consumer home care delivery model and HHA/PCA service mix, though it is a franchised national incumbent with substantially greater scale.
• Maxim Healthcare Services: Maxim provides home health, personal care, and behavioral services across the US, including upstate NY locations, with both private duty and clinical offerings. Comparable to NCHS in HHA/PCA/nursing service mix and direct-to-consumer model, differing in for-profit national scale.
• Amedisys: Amedisys is a publicly traded home health, hospice, and personal care provider with significant Medicare-certified skilled home health operations. Comparable to NCHS in skilled home health and personal care service mix, though far larger, publicly traded, and primarily Medicare-focused.
• Bayada Home Health Care: Bayada is a large non-profit home health provider offering skilled nursing, therapy, HHA, and personal care services across multiple states including New York. Comparable to NCHS in non-profit mission-driven structure, LHCSA-equivalent services, and payer mix, with greater geographic and service-line breadth.
• Visiting Angels: Visiting Angels is a national franchised home care provider offering personal care, HHA support, and respite services with multiple upstate NY locations. Comparable to NCHS in elderly-focused personal care service model and direct-to-consumer delivery, differing primarily in franchise vs. non-profit ownership structure.
• LHC Group: LHC Group operates one of the largest networks of home health, hospice, and personal care agencies in the US. Comparable to NCHS in skilled and personal care home health service mix and Medicare/Medicaid reimbursement exposure, though substantially larger and now part of UnitedHealth/Optum.
• Visiting Nurse Service of New York (VNSNY): VNSNY is the largest not-for-profit home- and community-based care provider in the US, offering skilled home health, personal care, hospice, and behavioral health across New York State. Comparable to NCHS in mission-driven non-profit structure and core service offerings, though vastly larger in scale and geographic reach.
• Comfort Keepers: Comfort Keepers is a national franchised provider of in-home personal care, companionship, and respite services, including in upstate New York. Comparable to NCHS in PCA/companionship-focused service delivery to elderly clients, though operated as a franchise rather than a non-profit LHCSA.

Regional players

• Eddy Visiting Nurse Association (St. Peter's Health Partners): Eddy VNA, part of St. Peter's Health Partners, provides home health, hospice, and personal care services across eastern New York including the Capital Region. Comparable to NCHS in service portfolio (HHA, PCA, nursing) and NYS regulatory environment, though it operates further south and is anchored by a hospital system.

Direct peers

• HCR Home Care: HCR Home Care is a New York-based Licensed Home Care Services Agency operating across upstate NY with HHA, PCA, and nursing services. It is directly comparable to NCHS in licensure type, service mix, regional footprint in New York State, and payer mix (Medicaid/Medicare/private).

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights5 records

Customer concentration

• Facebookfacebook.com/North-Country-Home-Services-146416972692339/?ref=page_internal

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 North Country Home Services