From application to approval, we handle your HCQC licensing — then hand you the platform to run your agency from day one. Most consultancies disappear when your license arrives. We keep going.
Want to open a non-medical home care agency in Nevada? You need a Agency to Provide Personal Care Services in the Home (Personal Care Agency) License from the Nevada Health Authority, Health Care Quality and Compliance. Our estimate: 60–120 days for provisional approval plus an on-site survey. State filing fees total $1,374 and are paid directly to HCQC.
Nevada Health Authority, Health Care Quality and Compliance
License Types
1 Categories
Agency to Provide Personal Care Services in the Home
Certificate of Need
Not Required
Non-medical home care agencies do not require a CON in Nevada.
Medicaid Program
Nevada Medicaid Personal Care Services (PCS)
Plus the Nevada HCBS Waiver for the Frail Elderly (FE) for qualifying providers.
Home Care License Type in Nevada
Nevada regulates home-based care under several license categories. Most new founders start with a Personal Care Agency License for non-medical care, then add skilled services later if they choose.
NON-MEDICAL
Agency to Provide Personal Care Services in the Home (Personal Care Agency) License
Nevada requires a license to operate an Agency to Provide Personal Care Services in the Home.
Personal care and daily living assistance
Companionship and homemaker services
Medication reminders (not administration)
Transportation and errand assistance
Respite care for family caregivers
State fee:
$1,374 $1,374 Initial Application Fee
Timeline:
60-120 Days for provisional approval
Regulator:
Nevada Health Authority, Health Care Quality and Compliance
How to Get Licensed in Nevada
Nevada licensing follows a structured 6-step process through HCQC. Our specialists handle all 6 steps in the Launch and Signature packages; in the Licensing Kit, you handle the submission yourself with our expert guidance.
60–120 days from start to provisional approval
1
FOUNDATION
2
INSURANCE
3
POLICIES
4
APPLICATION
5
OPERATIONS
1
Register your business
FOUNDATION
Register your LLC or corporation with the Nevada Secretary of State. Get your Nevada state business license and your city or county business license. Get your EIN and open a bank account. Lease an office in Nevada. Records must be kept at the licensed location.
2
Designate administrator & prepare documentation
INSURANCE
Appoint an administrator who meets NAC 449.3973 (18+, high school diploma or equivalent, English proficiency, understands NRS and NAC 449). Name a person to be in charge when they are away. The administrator must finish elder abuse training. Gather a resume for each owner. HCQC asks for 3 years of business history or a reference letter.
3
Write your policies & procedures
POLICIES
Write policies covering all 13 required areas in NAC 449.3974. Also write an infection control plan and update it each year (NRS 449B.220). The 13 areas are: attendant duties, prohibited activities, client rights, ethics/confidentiality, infection control, service descriptions, attendant assignments/supervision, client documentation, emergency responses (medical and non-medical), community coordination, performance evaluations, personnel records, and special population needs.
4
Secure insurance & complete FBI fingerprints
INSURANCE
Get liability insurance. List the Health Care Purchasing and Compliance Division as certificate holder. Get workers' comp. Buy your surety bond (NRS 449B.185). Each applicant sends fingerprints for an FBI check (NRS 449B.300). HCQC asks for a background check on each owner with 10% or more.
5
Submit your application online
APPLICATION
Apply online at myhealthfacilitylicense.nv.gov. Upload every item on the HCQC checklist. Pay the $1,374 fee. Fees are not refunded. Double-check everything before you submit.
6
HCQC review & license issuance
OPERATIONS
HCQC reviews your application, background check results, policies, insurance, and all documentation. They may ask for more information. They also inspect your agency. Once approved, your license is issued to a specific person at a specific location.
Why Nevada Founders Choose HomeCareAtlas
The biggest difference between us and traditional consultancies isn't the license — it's what happens after the license arrives.
Traditional Consultant
HomeCareAtlas
Pricing
A mystery sales process and hard upsells
Clear packages built for your goals
Policies & Procedures
Generic templates
Built around your state and your service model
Application Filing
You assemble the packet
Done-for-you in Launch and Signature
Survey Day
You're on your own
On-call phone support during your state visit
After License Arrives
Relationship ends
Platform, dashboard, and directory listing go live
Caregiver Onboarding
Not included
Digital onboarding ready for hire #1
Compliance Tracking
You build a spreadsheet
Live compliance dashboard included
Directory Presence
None
Listed on Carezano the day you open
Three Ways to Get Your Nevada Agency Licensed
Pick the level of support that matches how hands-on you want to be. Nevada state fees ($1,374 to HCQC) are passed through at cost.
Nevada charges a state application fee, paid directly to the state licensing body. We don't mark it up.
Want to see pricing? We share it on your free 15-minute call. Pick a time →
The Platform That Comes With Your License
Every tier includes free time on Home Care Atlas — the operating system for your new agency. This is the part other Nevada consultancies don't offer.
Nevada Licensing Workspace
Track your application, documents, and deadlines in one dashboard. Your Atlas specialist works in the same view you do.
Custom Nevada P&P Manual
Written around your state's rules, your service model, and your agency — not a generic national template. Survey-ready before you file.
Business Formation
LLC, EIN, NPI, surety bond, and insurance — all tracked and handled in Launch and Signature packages.
Compliance Dashboard
From caregiver #1 onward, every certification, background check, and required document is tracked with automatic expiration alerts.
Caregiver Onboarding
I-9, W-4, direct deposit, and required background-check verifications — all collected digitally.
Carezano Directory Listing
Listed on our public directory the day you open. Local families find you, referral partners find you, you're visible from day one.
Common Questions Before You Book
How much does a home care license cost in Nevada?
The initial application fee is $1,374 (NAC 449.013). Renewal is $687 each year. Total startup costs typically range from $45,000 - $85,000 including insurance, background checks, training programs, office space, and working capital. That range is our estimate.
How long does licensing take in Nevada?
We estimate 60-120 days from a complete application to a license. HCQC does not publish a set time. Missing items slow things down. Follow the HCQC checklist exactly.
What can a Personal Care Agency do in Nevada?
Personal care services that help clients with activities of daily living: bathing, dressing, grooming, meal preparation, light housekeeping, companionship, and similar tasks. Attendants cannot provide medical services like giving medicine, inserting catheters, injections, physical assessments, or any task requiring skilled nursing (NAC 449.3978).
What training is required for attendants?
Attendants must complete a training program covering 15 topics before working independently (NAC 449.3977). Topics include client rights, documentation, emergency response, skin care, nutrition, infection control, and more. They also need first aid/CPR within 6 months, 8 hours of training each year (NAC 449.3975), and yearly elder abuse training (NRS 449B.225).
Who can be an administrator?
Under NAC 449.3973: 18+, a high school diploma or equivalent, understands NRS and NAC Chapter 449, and can read, write, speak, and understand English. No state administrator course is needed. They do need elder abuse training before licensing and each year (NRS 449B.225). They must name a designee to act when they are away.
What insurance is required?
You must prove liability coverage (NAC 449.3972). The state sets no dollar amount. List the Health Care Purchasing and Compliance Division as certificate holder. Workers' comp is required for employees. You also need a surety bond: $5,000 (under 7 employees), $25,000 (7-25), or $50,000 (over 25) (NRS 449B.185).
Is Nevada a good market for home care?
Nevada has about 599,000 adults 65 and older. That is about 18% of the state (Census, 2025). Las Vegas metro has high private-pay potential from retirees, and California migration is growing demand. No state income tax is a big plus for owners. Henderson and Summerlin suburbs are premium submarkets with less competition than the Strip area.
What are the biggest mistakes to avoid?
Submitting an application with missing checklist items, skipping the elder abuse training, focusing only on central Vegas instead of growing suburbs like Henderson, and underestimating heat-related care considerations in the summer months.
Nevada Home Care Licensing: What You Need to Know
Nevada requires a license to operate an Agency to Provide Personal Care Services in the Home. The law moved to NRS Chapter 449B in 2025. The rules are still in NAC 449.396 to 449.3982. HCQC used to sit under the Division of Public and Behavioral Health. Since 2025 it is part of the new Nevada Health Authority. Fees are set in NAC 449.013. The initial fee is $1,374. Renewal is $687 each year. The first license ends on December 31 of the year you get it (NRS 449B.210). You apply online through HCQC's licensing portal (myhealthfacilitylicense.nv.gov). Upload every item on the HCQC checklist. Missing items slow you down. You also need a surety bond of $5,000 to $50,000, based on how many people you employ (NRS 449B.185). Each license is issued to a specific person at a specific location (NAC 449.3972). Nevada has no state income tax. The Las Vegas metro has many retirees with strong private-pay potential. California retirees keep moving in, which adds demand.
The Agency to Provide Personal Care Services in the Home (Personal Care Agency) License
You must get a license from HCQC before operating. Apply online at myhealthfacilitylicense.nv.gov. Each license is for a specific person at a specific location (NAC 449.3972). The initial application fee is $1,374 (NAC 449.013). Renewal is $687 a year. Fees are not refunded. Follow the HCQC checklist exactly. Each applicant sends one set of fingerprints to the Central Repository for Nevada Records of Criminal History for an FBI check (NRS 449B.300). Within 10 days of hiring, you must get fingerprints from each employee and contractor too (NRS 449B.310). You must prove you have liability insurance (NAC 449.3972). The state does not set a dollar amount. Your insurance certificate must list the Health Care Purchasing and Compliance Division as the certificate holder. Workers' comp is required for employees. You must file a surety bond when you apply and each time you renew (NRS 449B.185). It is $5,000 if you have fewer than 7 employees. It is $25,000 for 7 to 25 employees. It is $50,000 for more than 25. It is payable to the Aging and Disability Services Division. It protects older clients if their property is harmed. The bond must have the bond company's original seal. Under NAC 449.3973 the administrator must be 18+, have a high school diploma or equivalent, read/write/speak English, and understand NRS and NAC Chapter 449. No state administrator course is required. But the administrator must take elder abuse training before you get a license and each year (NRS 449B.225). Name a person to be in charge when the administrator is away. Nevada has no personal or corporate state income tax. This keeps more money in your business and is especially attractive for owners relocating from high-tax states like California. Nevada also requires required administrator certification (typical cost N/A).
Certificate of Need (CON) in Nevada
Nevada does not require a Certificate of Need (CON) for non-medical home care. You can move directly into the licensing process without a separate market-need review.
Medicaid Participation — Nevada Medicaid Personal Care Services (PCS)
Nevada Medicaid pays for personal care services under its state plan. You must enroll as a Nevada Medicaid provider to bill for it.
Common Reasons Nevada Applications Are Rejected or Delayed
Generic P&P manuals that don't reflect state-specific regulations
Incomplete administrator documentation
Insurance or surety bond policies that don't meet state minimums
Missing or inadequate quality assurance program documentation
Physical office that doesn't meet site-review standards
Caregiver background checks that miss required state databases
Every one of these is preventable with proper preparation. It's the biggest reason founders choose done-for-you packages over DIY — the cost of a rejection in lost time is almost always higher than the cost of doing it right the first time.
Book a Free Nevada Strategy Call
15 minutes with a home care specialist. We'll map out Nevada licensing for you, your timeline, and your best next step — even if you don't hire us.
Which Nevada license type fits your business model (Agency to Provide Personal Care Services in the Home)
Your realistic timeline and budget
Whether Nevada Medicaid Personal Care Services (PCS) enrollment makes sense for your plan
No pressure. No obligation. Nevada-specific guidance either way.
Your Future Nevada Clients Are Already Looking for Care.
Every week you spend piecing this together alone is a week you're not serving your first Nevada client. Let's get your agency licensed, launched, and visible — with people on your side who know HCQC.
