Nurse Registry & In-Home Care in Miami-Dade County
Caregiver referrals across Miami-Dade — from a companion a few mornings a week to live-in and skilled nursing support at home.
Miami-Dade is the largest and most varied of the three counties we serve, running from Aventura down through Miami, Coral Gables and Kendall to Homestead. Households here are often multigenerational, frequently multilingual, and usually trying to keep a parent or grandparent at home with family rather than moving them into a facility.
Care Alternatives, Inc. is a licensed Florida Nurse Registry in Miami-Dade County under License #30212470. We refer companions, home health aides, certified nursing assistants, LPNs and registered nurses, and have served South Florida since 1990.
Because families here often provide a great deal of care themselves, a lot of our Miami-Dade referrals are about filling specific gaps — overnight coverage so the household sleeps, weekday hours while adult children work, or hands-on bathing help that has become physically unsafe for a spouse to manage alone.
Not sure which county page applies to you? Start with our South Florida Nurse Registry overview or browse the full South Florida service area.
Florida Licensure
Miami-Dade Nurse Registry License #30212470
Homemaker Companion Service License #232233 · Care Alternatives, Inc. has served South Florida since 1990.
Our role in Miami-Dade County
As a Nurse Registry, Care Alternatives matches Miami-Dade families with independently contracted caregivers whose credentials we verify. We are not a home health agency and do not assign staff; you interview referred candidates, choose the caregiver, and set the schedule and tasks. For households where cultural and language fit matter, being able to choose the individual caregiver rather than accept an assignment is a meaningful difference.
Who we can refer in Miami-Dade County
As a licensed Florida Nurse Registry we screen and verify credentials, then refer independently contracted caregivers. Families interview candidates and choose who comes into the home.
Companions
Conversation, errands, appointment escorts, meal preparation and light household help for people who mainly need presence and a steady hand.
Home Health Aides (HHAs)
Assistance with grooming, bathing, meals, medication reminders and the everyday routines that keep someone comfortable at home.
Certified Nursing Assistants (CNAs)
Personal care and daily living support — bathing, dressing, toileting, transfers, mobility and safe supervision day or night.
Licensed Practical Nurses (LPNs)
Hands-on nursing support under a plan of care: vitals, medications, catheter and ostomy care, diabetic care and post-hospital monitoring.
Registered Nurses (RNs)
Skilled clinical oversight at home — medication management, wound care, disease-specific monitoring and coordination with your physician.
What Miami-Dade County families ask for most
Every household is different. These are the arrangements we are asked about most often in this county.
Support alongside family caregiving
Specific shifts that complement what relatives already provide, rather than replacing them.
Language and cultural fit
Language preference is part of the matching conversation; availability depends on schedule, area and caregiver skill level.
Personal care and bathing assistance
Hands-on help with activities of daily living when it has become unsafe for a spouse or adult child to manage alone.
Skilled nursing at home
LPN and RN referrals for medication management, wound care and clinical monitoring under a physician's plan of care.
Care for adults with special needs
Daily routine support and safe supervision for adults with special needs, not only older adults.
Live-in and 24-hour coverage
Continuous support where overnight safety or advanced dementia makes part-time care insufficient.
Coming home from the hospital
Coming home from a hospital or rehabilitation stay is a common trigger for a first call from Miami-Dade families. Care Alternatives is independent and has no partnership or referral agreement with any hospital or facility. We review what the discharge instructions say the person needs help with, explain what level of caregiver that usually calls for, and refer accordingly. We do not provide medical treatment and we are not an emergency service.
Paying for care
Miami-Dade families use private pay, long-term care insurance, and VA-related home-care support. We help assemble the caregiver documentation insurers request and explain the VA programs described on our Veterans page. Care Alternatives does not determine VA eligibility or guarantee insurance approval; those determinations are made by the VA and by the insurer.
Cities we serve in Miami-Dade County
Priority communities have their own page with local detail. We refer caregivers countywide, so call if your city is not listed.
Home care in Miami, FL
Screened caregiver referrals across the City of Miami — hourly help, personal care, overnight coverage and skilled nursing support.
Miami nurse registry detailsHome care in Aventura, FL
Caregiver referrals for Aventura residents — condominium living, seasonal schedules and around-the-clock support.
Aventura nurse registry detailsHome care in Coral Gables, FL
In-home caregiver referrals for Coral Gables households — discreet, consistent support in the home you already know.
Coral Gables nurse registry detailsAlso serving these Miami-Dade County communities
- Doral
- Hialeah
- Miami Beach
- Kendall
- Homestead
- North Miami
- Pinecrest
- Palmetto Bay
- Cutler Bay
Miami-Dade County home care questions
- What is Care Alternatives' Miami-Dade license number?
- Miami-Dade Nurse Registry License #30212470, plus Homemaker Companion Service License #232233.
- Can you refer Spanish-speaking caregivers?
- Language preference is part of how we match caregivers to households. Availability varies by area, schedule and skill level, so a coordinator will tell you what can realistically be referred.
- Do you serve south Miami-Dade?
- Yes, including Kendall, Palmetto Bay, Cutler Bay and Homestead. Distance can affect availability for very short shifts.
- Can a caregiver stay with someone in the hospital?
- Yes. Families arrange one-on-one sitters for hospital and rehab stays as well as care at home and in assisted living communities.
- Is Care Alternatives an employer of the caregiver?
- No. Referred caregivers are independent contractors selected and directed by the family.
Ready to talk about care in Miami-Dade County?
Tell us what the days look like and a coordinator will explain what level of caregiver referral usually fits. No obligation.
Need care for yourself or a loved one?
Speak with a Care Alternatives coordinator today. We'll listen, answer your questions, and help you take the next step — without pressure.