Exhibit 32.1

                    CERTIFICATIONS OF CHIEF EXECUTIVE OFFICER
                       PURSUANT TO 18 U.S.C. SECTION 1350
     (AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002)


     I, William B. Yarmuth,  Chief Executive Officer of Almost Family, Inc. (the
"Company"),  certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002,
18 U.S.C. Section 1350, that:

        (1)      The Quarterly Report on Form 10-Q of the Company for the
                 quarterly period ended March 31, 2004 (the "Report") fully
                 complies with the requirements of Section 13(a) of the
                 Securities Exchange Act of 1934 (15 U.S.C. 78m); and

        (2)      The information contained in the Report fairly presents, in
                 all material respects, the financial condition and results of
                 operations of the Company.




Date:     May 14, 2004                        By  /s/ William B. Yarmuth
                                              ------------------------
                                              William B. Yarmuth
                                              Chairman of the Board, President
                                              & Chief Executive Officer




A signed copy of this original statement required by Section 906 has been
provided to the Company and will be retained by the Company and furnished to the
Securities and Exchange Commission or its staff on request.