Choosing where to build your business matters just as much as how you build it. For those considering home care franchising, location can shape your client base, caregiver pool, and long-term growth. Whether you’re a local entrepreneur or moving states with a purpose, finding the best city to start a home care business is a key part of your future success.
In 2025, demographic shifts, aging populations, and economic trends will make certain U.S. cities stand out. At Ace Home Care, we help people just like you identify strong home care franchise territories so you can plant your roots where care is truly needed.
What Makes a City Great for Home Care?
Before diving into specific locations, it helps to know what we look for when identifying strong markets for a home care franchise opportunity. The best cities tend to have a blend of these traits:
- A large and growing senior population
- Affordable caregiver labor pool
- Supportive state regulations for home care
- Untapped demand for non-medical home care services
- Strong local healthcare networks or hospital partnerships
- Middle to upper-middle income neighborhoods
With those factors in mind, here are our top picks for cities that show promising opportunities in 2025.
1. Charlotte, North Carolina
Charlotte continues to be one of the fastest-growing metros in the country, and it is attracting both young families and retirees. The city’s mix of suburban and urban neighborhoods makes it ideal for caregivers to travel easily between clients.
The state has a favorable environment for launching non-medical care, and the demand for home care franchising is high, especially in nearby areas like Matthews, Concord, and Gastonia. For those ready to start a home care franchise, this market offers space to grow and a strong sense of community.
2. Phoenix, Arizona
Arizona has long been a magnet for retirees, and Phoenix in particular is booming with older adults seeking in-home support. With predictable weather and sprawling suburbs, it is a natural fit for caregivers and families alike.
If you’re looking for a home care franchise opportunity in a state with high need and clear licensing structures, Phoenix makes a smart pick. Ace already has insights into this region and can help guide you to available home care franchise territories nearby.
3. Tampa, Florida
Tampa’s population of seniors is projected to keep climbing well into the next decade. It is a city that understands the value of aging in place, and families are often looking for compassionate help to support loved ones at home.
With affordable housing, a growing workforce, and deep community ties, Tampa offers a solid base for first-time owners. If you’re looking to start a home care franchise where both need and appreciation run deep, Tampa delivers.
4. Dallas–Fort Worth, Texas
The DFW area combines big-city infrastructure with suburban access, making it a great operational hub. Texas is also known for being business-friendly, which is a big plus when you are navigating licenses and caregiver hiring.
Neighborhoods like Plano, Frisco, and Arlington are experiencing both senior growth and caregiver availability. For someone new to the home care franchise opportunity path, this region offers size, support, and potential.
5. Chicago Suburbs, Illinois
If you’re located in Illinois, you do not have to look far for opportunity. While Chicago’s core may feel saturated, the surrounding suburbs — such as Naperville, Schaumburg, and Oak Lawn — are rich with potential. These areas often have tight-knit communities, busy families, and aging residents who would rather stay at home than move into a facility.
Ace has helped multiple franchisees succeed in these areas, providing guidance on licensing and hiring in Illinois. It is a strong contender for anyone searching for the best city to start a home care business in the Midwest.
Practical Tips for Choosing Your City
Before you commit to a location, consider these quick steps to make an informed decision:
✔ Research the population over age 65. Look at census data or local demographics. A growing senior population signals strong demand.
✔ Drive around the area. Check for medical offices, senior living communities, or churches — these can become referral partners.
✔ Talk to local caregivers. Ask about pay expectations, travel times, and availability. A strong workforce helps you scale faster.
✔ Check your competition. Some areas are overserved, while others have space for a new kind of care experience. We can help analyze this for you.
How Ace Helps You Choose a Territory
At Ace Home Care Franchise, we do not expect you to figure it all out alone. When you come to us ready to start a home care franchise, we begin by helping you explore home care franchise territories that align with your goals, lifestyle, and budget. Our dedicated team is here to provide guidance and support every step of the way to ensure your success.
We will walk you through market data, demographic trends, and local licensing considerations. Whether you’re moving states or staying close to home, our job is to help you land in the right spot — not just any spot. Our team is dedicated to providing personalized insights that align with your unique needs and goals.
Start Where You Can Make the Most Impact
The truth is, there is no one perfect city. The best city to start a home care business depends on you — your background, your family, and the kind of business you want to build. What matters is starting in a place where your work will be needed and appreciated. Where your agency becomes part of the fabric of the community.
If you are thinking about home care franchising and wondering where to begin, we are ready to help. Our team at Ace Home Care Franchise can offer insights, local connections, and the kind of support that makes starting easier — and growing sustainable.
Ready to explore your ideal territory? Reach out today, and let’s find the right place to build your care legacy.