A First Name Basis
A First Name Basis is a private, non-medical in-home care provider operating 25 offices across Louisiana, Mississippi, Arkansas, and South Carolina, delivering personalized senior and disability care via employed, rigorously vetted caregivers funded through Medicaid, VA benefits, long-term care insurance, and private pay.
- Company typePrivate
- Founded-
- HeadquartersLafayette, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What A First Name Basis does
A First Name Basis (legal entity AFNB Home Care LLC) is a private, non-medical in-home care provider headquartered in Lafayette, Louisiana, operating 25 local offices across Louisiana, Mississippi, Arkansas, and South Carolina. The company delivers personalized caregiving services to two primary populations: older adults seeking to age in place and children or adults with intellectual or developmental disabilities. Service scope spans personal care (bathing, dressing, grooming, mobility), meal preparation, medication management, transportation, companionship, and light housekeeping, with customized care plans ranging from occasional visits to 24/7 support. Each client is assigned a dedicated Care Manager who coordinates scheduling and conducts regular home visits, supported by a round-the-clock Care Support Team.
The company's operating model rests on a talent-led approach: it hires only the top 10% of caregiver applicants after a 21-point evaluation (background checks, drug testing, competency exams, personality assessment, HIPAA training, first aid/CPR, fall prevention, Virtual Dementia Tour) and employs caregivers as full-time W-2 staff with health/dental benefits, 401(k), and DailyPay access. Average caregiver tenure exceeds four years, and average caregiver-to-client relationship duration also exceeds four years. A proprietary five-dimension personality compatibility system is used to match caregivers with clients. Operational technology includes a Real-Time Caregiver Monitoring System (Electronic Visit Verification) and a secure mobile app that gives caregivers access to client care plans, medication schedules, and shift notes.
Revenue is generated on a fee-for-service basis across five payer streams: state Medicaid waiver programs (OAAS, OCDD, E&D Waiver, ARChoices, PASSE, Community Choices Waiver), Veterans Administration benefits (Aid & Attendance, Respite Care, PCA Respite), long-term care insurance reimbursement, workers' compensation, and private pay. The company is sold through a sales-led motion (phone and website intake with free in-home consultations) reinforced by referral-based community channels including hospital discharge planners, social workers, healthcare providers, and word-of-mouth. Leadership has been formalized around a C-suite (CEO Jake Fackrell, COO Arjun Bhima, CFO Chris Dragone, Chief Compliance Officer Nichole Manning) with additional functional roles in growth, integrations, and acquisitions, indicating a professionalized platform built for further geographic and inorganic expansion.
A First Name Basis firmographics
Firmographics- Name
- A First Name Basis
- Legal name
- AFNB Home Care LLC
- Website
- https://afirstnamebasis.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- A First Name Basis is a private, non-medical in-home care provider operating 25 offices across Louisiana, Mississippi, Arkansas, and South Carolina, delivering personalized senior and disability care via employed, rigorously vetted caregivers funded through Medicaid, VA benefits, long-term care insurance, and private pay.
- Ownership category
- akta.pro rank
A First Name Basis industry classification
Industry- Product category
- In-Home Care Services
- NAICS
- Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (62419)
- SIC
- Services-Personal Services (7200), Services-Health Services (8000)
- akta.pro primary industry
- Private-Duty Caregiver Staffing Agencies (HSABAMAB)
- akta.pro secondary industries
- Live-In Care (Single Caregiver, 24-Hour Presence) (HSABAHAB), Specialty Caregiver Placement (Dementia, Parkinson’s, Post-Op) (HSABAMAG), Light Housekeeping & Home Upkeep (Non-Medical) (HSABAAAD)
Keywords
Where A First Name Basis is headquartered
LocationHeadquarters
- HQ city
- Lafayette
- HQ country
- United States
- HQ region
- North America
Offices47 records
Markets served
A First Name Basis business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- Medicaid-Funded Home Care: Fee-for-service payment for in-home care services funded through state Medicaid waiver programs. Accepts nearly all waiver and non-waiver Medicaid programs across Louisiana, Mississippi, Arkansas, and South Carolina. Includes programs like OAAS, OCDD, E&D Waiver, ARChoices, PASSE, and Community Choices Waiver.
- Veterans Administration Benefits: Payment for in-home care services funded through VA benefits including Aid & Attendance Allowance, Respite Care benefit, and Personal Care Assistance (PCA) Respite benefit for eligible veterans and surviving spouses.
- Long-Term Care Insurance: Reimbursement for in-home care services covered under long-term care insurance policies. Company assists families with paperwork and coordinates with insurance providers.
- Private Pay: Direct payment from clients or families for care services not covered by insurance or benefits. Company markets services as cost-effective alternative to facility-based care.
- Workers' Compensation: Payment for in-home care services covered under workers' compensation claims.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Customized care plans tailored to individual client needs |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
A First Name Basis product offering
Product offeringCore offering
A First Name Basis delivers non-medical in-home care services through a network of employed caregivers across 25 local offices in Louisiana, Mississippi, Arkansas, and South Carolina. The company provides two core service lines—Senior Home Care and Disability Home Care—covering personal care, meal preparation, medication management, transportation, companionship, and light housekeeping. Care is supported by a Real-Time Caregiver Monitoring System with EVV verification, a secure mobile app for caregivers, a 5-dimension Caregiver Compatibility Guarantee, and a dedicated Care Manager for every client.
Product overview
A First Name Basis is an in-home care service provider operating across Louisiana, Mississippi, Arkansas, and South Carolina with approximately 25 local offices. The company offers two core service lines: Senior Home Care and Disability Home Care, both providing non-medical in-home care including personal care, meal preparation, medication management, companionship, and transportation. These services are delivered through a network of trained caregivers managed by dedicated Care Managers and supported by proprietary technology including a Real-Time Caregiver Monitoring System and a mobile app for caregiver communication and scheduling. The company distinguishes itself through a rigorous 21-point caregiver evaluation and training program and a Caregiver Compatibility Guarantee that matches clients with caregivers based on personality compatibility.
Differentiator
Problem solved
Functional benefit
Products and services
- Senior Home Care Non-medical in-home care services for older adults that enable them to age in place at home. Services include personal care (bathing, dressing, grooming, mobility), meal preparation, medication management, transportation, companionship, and light housekeeping, with customized care plans ranging from occasional help to 24/7 care.
- Disability Home Care In-home care services for intellectually or developmentally disabled adults and children. Compassionate caregivers build a genuine connection with each individual while attending to personal care and other daily needs as part of a tailored daily plan.
- Care Manager Services A dedicated Care Manager assigned to every client who monitors care plans, coordinates scheduling, conducts regular home visits, and serves as the primary point of contact for families to ensure continuity and quality of in-home care.
Quantifiable outcome
- Average caregiver-to-client relationship exceeds 4 years
- +2 more outcomes
Companies that use A First Name Basis
Customer profileNamed customers10 records
Segments4 records
Ideal customer profiles3 records
A First Name Basis technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
A First Name Basis partnerships and signals
Strategic signalScale indicators4 records
Recent moves6 records
Expansion highlights6 records
A First Name Basis competitors and assessment
Company assessmentDirect peers
- BrightStar Care: National franchise providing both medical and non-medical in-home care, personal care, and skilled nursing. Direct competitor offering similar caregiver matching, compatibility-focused service, and Medicaid/private-pay revenue mix across a multi-state footprint.
- Home Instead: Largest private-duty home care franchise network globally, focused on non-medical companionship, personal care, and Alzheimer's/dementia care for seniors. Operates a franchise model with similar Care Manager-style quality programs and serves a comparable senior client base.
- Visiting Angels: National non-medical home care franchise offering companion care, personal care, and respite services to seniors. Competes directly in same geographies and segment; similar franchise-driven multi-state operating model with caregiver compatibility emphasis.
- Comfort Keepers: International non-medical home care franchise providing personal care, companionship, and specialized dementia/palliative support. Directly comparable in service scope, customer segments, and relationship-based care model.
- Senior Helpers: National franchise offering in-home personal care, companion care, and specialized dementia/Parkinson's care for seniors. Operates a comparable franchise model with regional offices serving similar Medicaid/private-pay mix.
- Right at Home: International in-home care franchise providing companionship, personal care, and specialty care for seniors and adults with disabilities. Comparable service offerings, payer mix, and dedicated caregiver matching approach.
- Help at Home: Large personal care services provider serving primarily Medicaid waiver clients across multiple states. Operates a high-volume, relationship-based in-home care model directly comparable to A First Name Basis's Medicaid-heavy book of business.
Broad incumbents
- Bayada Home Health Care: One of the largest non-profit home health and personal care providers in the US, offering both skilled nursing and non-medical personal care services. Comparable in caregiver focus but broader in clinical service scope and geographic footprint.
- Addus HomeCare: Public company providing personal care, hospice, and home health services with a heavy Medicaid focus across multiple states. Comparable in payer mix and personal care services but operates at materially greater scale with a public-market capital base.
- Aveanna Healthcare: Public home health and personal care company providing private-duty nursing, adult home care, and pediatric services. Comparable in Medicaid-funded personal care segment but with significantly larger national footprint and mixed clinical/non-clinical service mix.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
A First Name Basis social profiles
Digital presenceA First Name Basis financial estimates
Financial estimateRevenue estimate
Valuation estimate
A First Name Basis leadership team
Management profileNumber of profiles
Profiles15 records
A First Name Basis funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
A First Name Basis M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about A First Name Basis
What does A First Name Basis do?
A First Name Basis delivers non-medical in-home care services through a network of employed caregivers across 25 local offices in Louisiana, Mississippi, Arkansas, and South Carolina. The company provides two core service lines—Senior Home Care and Disability Home Care—covering personal care, meal preparation, medication management, transportation, companionship, and light housekeeping. Care is supported by a Real-Time Caregiver Monitoring System with EVV verification, a secure mobile app for caregivers, a 5-dimension Caregiver Compatibility Guarantee, and a dedicated Care Manager for every client.
Is A First Name Basis a public or private company?
A First Name Basis is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was A First Name Basis founded?
A First Name Basis was founded in -1. It employs 251 to 500 people.
Where is A First Name Basis based?
A First Name Basis is headquartered in Lafayette, United States, in the North America region.
How does A First Name Basis make money?
Five revenue lines are on record. Medicaid-Funded Home Care is the primary driver. The others are veterans Administration Benefits, long-Term Care Insurance, private Pay and workers' Compensation.
Who are A First Name Basis's main competitors?
Direct peers on record are BrightStar Care, Home Instead, Visiting Angels, Comfort Keepers, Senior Helpers, Right at Home and Help at Home. Broad incumbents are Bayada Home Health Care, Addus HomeCare and Aveanna Healthcare.
Does A First Name Basis have an API?
No public API is recorded for A First Name Basis.
What industry is A First Name Basis in?
A First Name Basis's product category is In-Home Care Services. Its primary akta.pro industry code is HSABAMAB, Private-Duty Caregiver Staffing Agencies, with a secondary code of HSABAHAB, Live-In Care (Single Caregiver, 24-Hour Presence). Its NAICS code is 624120 and its SIC code is 7200.