How to become a Care Taxi Driver
Also called: Welfare taxi driver
Provides a taxi service in specially adapted vehicles that people needing care can board while staying in their wheelchair or on a stretcher.
Main tasks
- Taking bookings from passengers
- Finding out the passenger's level of care need and type of disability
- Checking the route for the trip
- Checking the pick-up and drop-off spot (accessible parking) at the destination in advance
- Arranging the day's plan in advance with people at the destination (hospital or care facility staff and so on)
- Loading the equipment needed
- Picking up the passenger (and any family members riding along)
- Operating equipment such as ramps and lifts for boarding and leaving the vehicle
- Helping passengers get in and out of the vehicle
- Driving the vehicle to the destination
- Giving support at the destination when asked, such as help moving around, using the toilet or shopping
- Talking and communicating with passengers
- Checking and servicing the vehicle
- Cleaning and disinfecting the vehicle and equipment
Workers in this job say high school is common. From job tag's survey of people in each job, who could give several answers. It shows what workers see as common, not how many workers hold each level.
How to become one
The essential qualification to start is a class 2 standard car licence (for carrying paying passengers). However, this alone does not allow you to help passengers in and out of the taxi or give physical care. If you provide care services as well as transport, you need to have completed training such as the initial training for care workers or hold a care qualification such as certified care worker. Almost nobody joins as a new graduate. Most people move to a care taxi company from another job or set up their own business. A care taxi business can be started as a sole trader with one commercial vehicle or as a company. The basic process for getting permission to start a general passenger car transport business (limited to welfare transport) is first to meet basic requirements, such as having a vehicle, an office and start-up funds, and then apply to register the business with the local transport bureau office. At this stage a class 2 standard car licence is essential. If the application passes review, you sit a test on the relevant laws and an interview at the regional transport bureau. Once the business is approved, you have the vehicle inspected and registered, change to green commercial number plates if needed, and start operating within six months of approval. Drivers at ordinary taxi companies usually drive a normal taxi and switch to the care taxi when there is a booking. Self-employed operators need to build a network with other local operators, because working with other businesses is essential for partnerships with hospitals, other medical institutions and local government, and for handling surges in bookings. You need communication skills, the ability to handle sudden situations, caring hospitality and respect for passengers' dignity.
Ways in
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 普通自動車第二種免許. Needed to do this job (Peernovo, from job tag's entry description). English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 介護福祉士. English name and classification by Peernovo.
Pay · Job openings · AI and this job
- Average annual income: ¥3,709,800 Private sector only: employers with 10 or more staff. Public servants, such as public school teachers and police officers, are not in these figures.
- Monthly base pay (before overtime and bonus): median ¥236,800, and the middle half earn ¥206,000 to ¥281,300 a month.
- 2.61 job openings per applicant at Hello Work (2025). A current demand signal, not a projection. It counts only the jobs and job seekers registered at Hello Work, Japan's public employment offices, and many graduate and professional hires never pass through it.
- Generative AI could change some tasks in this job, by the ILO's global estimate.
Related jobs
Not sure this is for you? Take the 2-minute career quiz
Questions people ask
How do I become a Care Taxi Driver?
The essential qualification to start is a class 2 standard car licence (for carrying paying passengers). However, this alone does not allow you to help passengers in and out of the taxi or give physical care. If you provide care services as well as transport, you need to have completed training such as the initial training for care workers or hold a care qualification such as certified care worker. Almost nobody joins as a new graduate. Most people move to a care taxi company from another job or set up their own business. A care taxi business can be started as a sole trader with one commercial vehicle or as a company. The basic process for getting permission to start a general passenger car transport business (limited to welfare transport) is first to meet basic requirements, such as having a vehicle, an office and start-up funds, and then apply to register the business with the local transport bureau office. At this stage a class 2 standard car licence is essential. If the application passes review, you sit a test on the relevant laws and an interview at the regional transport bureau. Once the business is approved, you have the vehicle inspected and registered, change to green commercial number plates if needed, and start operating within six months of approval. Drivers at ordinary taxi companies usually drive a normal taxi and switch to the care taxi when there is a booking. Self-employed operators need to build a network with other local operators, because working with other businesses is essential for partnerships with hospitals, other medical institutions and local government, and for handling surges in bookings. You need communication skills, the ability to handle sudden situations, caring hospitality and respect for passengers' dignity.
How much does a Care Taxi Driver earn in Japan?
Average annual income in the private sector, bonus included, is ¥3,709,800 (Ministry of Health, Labour and Welfare).
Do you need a degree to become a Care Taxi Driver?
Usually not. In this job's census occupation group, only 11% of workers are university graduates.
Will AI change the work of a Care Taxi Driver?
Generative AI could change some tasks in this job, by the ILO's global estimate.
Sources
- Ministry of Health, Labour and Welfare: Basic Survey on Wage Structure (賃金構造基本統計調査) 2025: earnings by occupation (2025 survey (June 2025 pay, 2024 bonus), published 2026-03-24), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Ministry of Health, Labour and Welfare: Employment Referrals for General Workers (一般職業紹介状況): Hello Work job-openings-to-applicants ratio by occupation (2025 annual (release of 2026-10-02)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Statistics Bureau of Japan (MIC): 2020 Population Census (令和2年国勢調査) detailed sample tabulation: employed by occupation, sex, age and education (2020 Census (tables 9-1 and 15-1, published 2022-12-27)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- JILPT (職業情報データベース) via MHLW job tag: job tag download data: 解説系 (descriptions, how to become, related qualifications) and 簡易版数値系 (interests, tasks, education) (解説系 ver.7.01 (2026-06-04); 簡易版数値系 ver.7.00 (2026-03-17)), retrieved 4 October 2026
- International Labour Organization, Generative AI and Jobs: A Refined Global Index of Occupational Exposure (ILO Working Paper 140, Gmyrek et al.) (ILO Working Paper 140, May 2025, Annex Table A1), CC BY 4.0, retrieved 4 October 2026
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 解説系ダウンロードデータ(IPD_DL_description_7_01.xlsx)ver.7.01 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 簡易版数値系ダウンロードデータ(IPD_DL_numeric_7_00.xlsx)ver.7.00 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
Sources: JILPT Occupational Information Database download data via job tag (解説系 ver.7.01 and 簡易版数値系 ver.7.00, downloaded 4 October 2026), processed by Peernovo; MHLW, Basic Survey on Wage Structure 2025; Statistics Bureau of Japan, 2020 Population Census; MEXT, School Basic Survey 2025; MHLW, Employment Referrals for General Workers (Hello Work statistics). Figures processed by Peernovo. English job names, translations and the matching of jobs to statistical groups, schools and degree fields by Peernovo.
Updated 4 October 2026
