Exhibit 32.1

                    CERTIFICATION 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 Annual Report on Form 10-K of the Company for the annual
                period ended December 31, 2006 (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: March 29, 2007

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.