From application to approval, we handle your DPBH 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 Division of Public and Behavioral Health. Plan on 60–120 days for provisional approval plus an on-site survey. State filing fees total $1,374 and are paid directly to DPBH.
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 HCBS Waiver for the Frail Elderly (FE)
Program details available during your strategy call.
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 Division of Public and Behavioral Health
How to Get Licensed in Nevada
Nevada licensing follows a structured 6-step process through DPBH. 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 EIN from the IRS and open a business bank account. Secure a commercial office location — records must be maintained at the licensed location.
2
Designate administrator & prepare documentation
INSURANCE
Appoint an administrator who meets NRS requirements (18+, or 21+ if licensee, high school diploma, English proficiency). Get a signed statement that the administrator understands NRS Chapter 449 and NAC 449. Designate an alternate in writing. Prepare evidence of financial solvency.
3
Develop comprehensive policies & procedures
POLICIES
Write policies covering all 13 required areas per Section 15 of the regulations: 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 general liability ($1M/$3M) with HCQC listed as certificate holder and 30-day cancellation notice. Get workers' comp. Submit two complete sets of fingerprints to the Central Repository for Nevada Records of Criminal History for FBI check. Complete all NRS 449.176-449.188 requirements for owners and staff.
5
Submit application through ALiS
APPLICATION
Submit your complete application through the ALiS Online Licensing System (nvdpbh.aithent.com) with all required documentation and the $1,374 fee. Include notarized originals where specified. Nevada returns incomplete packets — follow the DPBH checklist line by line. Double-check everything before submitting.
6
HCQC review & license issuance
OPERATIONS
HCQC reviews your application, background check results, policies, insurance, and all documentation. They may request additional information. Once approved, your license is issued to a specific person at a specific location. Fire clearance may be required.
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
Gated, sales-call only
Published online, no surprises
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 DPBH) are passed through at cost.
Atlas Licensing Kit
Get licensed without mistakes
$1,495+ state fees
For self-directed founders who want expert guidance and will file the application themselves.
Licensing
Nevada licensing roadmap
Annotated application guide
Custom P&P manual (state-ready)
Prep tools
Office setup checklist
Bond & insurance sourcing
Admin interview prep
Survey prep guide
Expert support
2 × 60-min strategy calls
Application red-line review
60 days email support
Platform
3 months free Atlas SaaS
Free Carezano directory listing
Upgrade to Launch for
Done-for-you filing
Medicaid enrollment
Website & launch kit
Live survey prep
Most Popular
Atlas Launch
Licensed & ready for first client
$3,995+ state fees
For founders ready to be fully licensed, operational, and taking their first client on day one.
Everything in Licensing Kit, plus:
Application prepared & filed
P&P custom-built for your model
Background check coordination
Surety bond assistance
Site review prep
Live admin interview prep
Survey & enrollment
Live survey prep session
Survey-day on-call support
Medicaid enrollment guidance
Waiver enrollment guidance
50% off plan-of-correction support
Launch setup
Atlas Edge
Branded website landing page
Google Business Profile setup
Caregiver recruitment kit
HR / employee handbook
Intake + care plan templates
Scheduling templates
Support & platform
90 days Slack/email support
6 months free Atlas SaaS
Priority Carezano placement
Licensing approval guarantee
Upgrade to Signature for
Business formation (LLC, EIN)
Full brand + multi-page site
Go-to-market system
Founder-level attention
Atlas Signature
White-glove launch & full setup
$7,995+ state fees
For founders who want direct access, white-glove execution, and long-term support with minimal lift.
Everything in Launch, plus:
LLC formation + EIN
Registered agent (1st year)
Operating agreement
Full brand + web
Logo + branding kit
Business cards + marketing materials
Multi-page website
Domain + professional email
Go-to-market system
First-month marketing plan
Curated referral source list for your area
Discharge planner scripts
Private pay contracts
LTC insurance setup
Premium support
Signature Only
Weekly calls (first 60 days)
Direct phone/text access
Founder-level attention
Extended support
6 months compliance support
12 months free Atlas SaaS
Premium directory placement
First-year renewal included
1 free plan of correction
What are state fees?Hide state fee details
Nevada charges a state application fee, paid directly to the state licensing body. We don't mark it up.
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. Total startup costs typically range from $45,000 - $85,000 including insurance, background checks, training programs, office space, and working capital.
How long does licensing take in Nevada?
60-120 days from complete application to license. The key word is "complete" — Nevada returns incomplete packets without review. Follow the DPBH checklist exactly and include notarized originals where specified.
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 medication administration, catheter care, injections, vital sign monitoring, or any task requiring skilled nursing.
What training is required for attendants?
Attendants must complete a comprehensive training program covering 15+ topics before working independently. Topics include client rights, documentation, emergency response, skin care, nutrition, infection control, and more. They also need first aid/CPR within 6 months and 8 hours of annual continuing training.
Who can be an administrator?
Must be 18+ (21+ if also the licensee), have a high school diploma or equivalent, understand NRS Chapter 449, and demonstrate English proficiency. They must sign a statement acknowledging understanding of the regulations and designate an alternate in writing.
What insurance is required?
General liability insurance ($1M per occurrence / $3M aggregate) with HCQC listed as certificate holder and 30-day cancellation notice. Workers' comp required for all employees. Surety bond is not state-mandated but consider $10,000+ if handling client funds.
Is Nevada a good market for home care?
Nevada has about 522,000 seniors (16.6% of the population) and a market rating of 4/5. 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 incomplete application packet (Nevada rejects these fast), not including notarized originals, 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 governing regulations are NRS Chapter 449 and NAC 449 (including NAC 449.3972 and NAC 449.013). You apply through the ALiS Online Licensing System. Nevada is strict about complete applications — incomplete packets are returned without review. Follow the DPBH checklist line by line. Each license is issued to a specific person to operate at a specific location. Nevada has no state income tax, which is attractive for agency owners. The Las Vegas metro has a high concentration of retirees with strong private-pay potential, and growing California retiree migration is adding demand.
The Agency to Provide Personal Care Services in the Home (Personal Care Agency) License
You must get a license from DPBH HCQC before operating. Apply through the ALiS Online Licensing System (nvdpbh.aithent.com). Each license is for a specific person at a specific location. The initial application fee is $1,374. Nevada will return incomplete packets — follow the DPBH checklist exactly and include notarized originals where specified. All applicants must submit two complete sets of fingerprints to the Central Repository for Nevada Records of Criminal History for FBI background check (NRS 449.188). All employees, contractors, and administrators must also comply with NRS 449.176-449.188. General liability insurance ($1M per occurrence / $3M aggregate) required. The certificate must list HCQC as the certificate holder with a 30-day cancellation notice. Workers' comp required for all employees. Administrator must be 18+ (21+ if also the licensee), have a high school diploma or equivalent, demonstrate ability to read/write/speak English, and understand NRS Chapter 449 regulations. Must designate a person to be in charge during absences. 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 HCBS Waiver for the Frail Elderly (FE)
Nevada's Medicaid home and community-based services program for frail elderly individuals. Enrollment as a Medicaid provider is required to serve Medicaid-eligible clients.
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
30 minutes with a home care specialist. We'll map out Nevada licensing for your specific situation, your timeline, and your best path forward — 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 HCBS Waiver for the Frail Elderly (FE) enrollment makes sense for your plan
Common Nevada-specific mistakes to avoid
If you'd like, which Atlas package is right for you
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 DPBH.
