Home Health Aides in Birmingham, AL: Hire In-Home Help

Local figures

Home Health Aides in Birmingham, AL: the local picture

19

Medicare-certified home health agencies list Birmingham ZIP codes in their service area

$13.39

median hourly wage of home care aides in Alabama (BLS, May 2025)

32,486

residents 65 or older (16% of Birmingham)

38%

of residents 65+ report a disability (38% in Jefferson County)

19 Medicare-certified home health agencies list Birmingham ZIP codes in their service area; the highest-rated are below, and 8 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Alabama earn a median $13.39 an hour (BLS, May 2025), with the middle half between $12.59 and $14.51.

Birmingham has about 32,486 residents aged 65 or older, 38% of whom report a disability.

Birmingham compared with Jefferson County and Alabama

Census figure	Birmingham	Jefferson County	Alabama
Residents 65+ with a disability	38%	38%	38%
Residents 65 or older	16%	17%	18%
Residents 85 or older	1.7%	1.9%	1.7%
Residents 65+ in households who live alone	38%	31%	29%
Residents 65+ below the poverty line (approx.)	19%	13%	12%
Residents 5+ who speak a language other than English at home	6.9%	7.6%	6.0%
Median income, households headed by someone 65+	$37,181	$51,066	—

Older residents in towns around Birmingham

Town	Distance	Residents 65+	65+ with a disability
Mountain Brook, AL	4.4 mi	3,822	24%
Homewood, AL	4.8 mi	3,070	35%
Tarrant, AL	4.9 mi	1,025	62%
Vestavia Hills, AL	5.6 mi	7,394	38%
Fultondale, AL	6.2 mi	1,305	33%
Forestdale, AL	6.7 mi	2,601	44%

Medicare-certified home health agencies serving Birmingham

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Birmingham, AL	4.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 836-0777
Centerwell Home Health	Hoover, AL	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 739-7800
Centerwell Home Health	Sylacauga, AL	39 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 249-4363
Amedisys Home Health Lakeshore Of Birmingham	Homewood, AL	4.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 868-0147
Compassus Home Health	Birmingham, AL	6.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Amedisys Home Health	Trussville, AL	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 655-3707
Compassus Home Health	Pell City, AL	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Centerwell Home Health	Jasper, AL	35 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 221-5234

Straight-line miles from the center of Birmingham. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Birmingham

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 37% of the $3,098 monthly median income of Birmingham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Home Health Aides in Birmingham: common questions

Which home health agencies serve Birmingham?

Medicare lists 19 certified agencies whose service area includes Birmingham ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (5 of 5), Centerwell Home Health (5 of 5), Centerwell Home Health (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Birmingham?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 37% of the $3,098 monthly median income of Birmingham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Birmingham

More senior care near Birmingham

Home Health Aides in nearby cities

Other care in Birmingham

More for Birmingham families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

Home Health Aides in Birmingham, AL