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Elderly Care Facilities in Japan: lead lists

Japan's aging population has created a large elderly care sector, from day-care centers to home-visit services and nursing homes. Most operators work within the public long-term care insurance system.

Top 10 prefectures by number of elderly care and nursing care businesses

  1. 1Osaka9,275
  2. 2Tokyo8,990
  3. 3Kanagawa6,644
  4. 4Aichi5,509
  5. 5Hokkaido5,450
  6. 6Fukuoka5,228
  7. 7Saitama4,727
  8. 8Hyogo4,631
  9. 9Chiba4,446
  10. 10Shizuoka3,107

Source: 2021 Economic Census for Business Activity, category β€œWelfare and care services for the elderly” (as of June 1, 2021). Numbers in brackets below use the same source.

Browse by prefecture

Hokkaido & Tohoku

Hokkaido (5,450)Aomori (1,844)Iwate (1,590)Miyagi (2,200)Akita (1,391)Yamagata (1,126)Fukushima (1,898)

Kanto

Tokyo (8,990)Kanagawa (6,644)Saitama (4,727)Chiba (4,446)Ibaraki (1,909)Tochigi (1,499)Gunma (2,115)

Chubu

Niigata (2,305)Toyama (1,030)Ishikawa (1,034)Fukui (626)Yamanashi (820)Nagano (2,018)Gifu (1,921)Shizuoka (3,107)Aichi (5,509)

Kansai

Osaka (9,275)Kyoto (1,925)Hyogo (4,631)Nara (1,180)Wakayama (1,187)Shiga (1,171)Mie (1,660)

Chugoku & Shikoku

Tottori (632)Shimane (905)Okayama (2,038)Hiroshima (2,634)Yamaguchi (1,583)Tokushima (881)Kagawa (891)Ehime (1,611)Kochi (959)

Kyushu & Okinawa

Fukuoka (5,228)Saga (979)Nagasaki (1,610)Kumamoto (1,987)Oita (1,313)Miyazaki (1,558)Kagoshima (1,963)Okinawa (1,437)

Tokyo's 23 wards

Chiyoda (35)Chuo (91)Minato (138)Shinjuku (209)Bunkyo (98)Taito (141)Sumida (195)Koto (228)Shinagawa (184)Meguro (172)Ota (479)Setagaya (629)Shibuya (118)Nakano (209)Suginami (438)Toshima (161)Kita (237)Arakawa (159)Itabashi (401)Nerima (601)Adachi (476)Katsushika (339)Edogawa (383)

Doing business with elderly care and nursing care businesses in Japan

Staff shortages are the top issue, so recruitment support and tools that reduce paperwork get attention. Care records and billing follow the long-term care insurance rules, so software must fit Japanese requirements.

Call in the early afternoon on weekdays. Avoid the start and end of the month, when care insurance billing is prepared.

Other industries

Tax AccountantsRestaurantsHair SalonsOsteopathic Clinics (Seikotsuin)Dental ClinicsReal Estate AgenciesConstruction CompaniesMedical ClinicsCram Schools (Juku)