Healthcare Provider Licensing, and Certification Starts at $300 yr

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Massachusetts has a significant senior population comprising more than 1.4 million residents or 20.7% of the state’s total population. With access to world-renowned hospitals and research institutions, it’s also a hub for healthcare services.

The cost of living in Massachusetts is higher than the national average, but the state offers a wide range of options for seniors looking for a place to retire. From picturesque seaside towns to vibrant cities, there is something for everyone.

Seniors in Massachusetts have healthcare service options beyond in-home care. Nursing home facilities provide the highest and most intensive level of care, but they are also more expensive than in-home care, averaging $11,067 per month for a semi-private room. Assisted living facilities, at $5,640 per month on average, are slightly cheaper than nursing homes but more expensive than in-home care.

Home healthcare, which is similar to in-home care but includes clinical services such as physical and occupational therapy, is roughly the same price as assisted living at $5,680 per month. The least expensive option, averaging $1,798 per month, is adult day healthcare.


If you’re searching for a fulfilling and lucrative business in the healthcare sector, consider starting a home care agency in Massachusetts. Home care agencies offer vital services to seniors, disabled, and chronically ill individuals who need help with daily living activities. By starting a home care agency in Massachusetts, you can enjoy the following benefits:

  • High demand

    According to the U.S. Census Bureau, Massachusetts has one of the highest percentages of elderly population in the nation, with 16.6% of its residents being 65 years or older. This means that there is a substantial and growing market for home care services in the state.

  • Moderate competition

    Massachusetts has a reasonable number of home care agencies compared to other states, but there is still room for growth. According to Home Care Pulse, Massachusetts ranked 26th among the states in terms of the number of home care agencies per 10,000 seniors in 2020.

  • Licensing requirements

    Massachusetts requires home care agencies to obtain a state license, which may increase your costs and processing time. However, this also ensures that your agency meets certain quality standards and provides a higher level of protection for your clients.

  • Flexible services

    Massachusetts permits home care agencies to offer a broad range of services, including personal care, companion care, homemaker services, respite care, and skilled nursing care. You can customize your services to fit the specific needs and preferences of your clients.

  • Professional support

    Starting a home care agency can be challenging, but you don’t have to do it alone. You can receive expert guidance and assistance from experienced consultants who can help you with all aspects of the process, from business planning and marketing to training and compliance.

Starting a home care agency in Massachusetts is a fulfilling and profitable business opportunity that allows you to make a positive impact on people’s lives. If you want to learn more about how to start a home care agency in Massachusetts, contact us today for a free consultation.


Starting a home care agency in Massachusetts can be a rewarding and profitable business opportunity, but it also requires some initial investment and ongoing expenses.

Have in mind that you can take care of all this yourself or call us for help. We have concrete solutions that help you solve daily administrative situations, while you take care of growing your business.

Roughly The costs associated with starting your agency in Massachusetts involves:

1. Business License

The cost of a business license in Massachusetts varies by city and county. For example, in Boston, the cost of a business license is $500.

2. LLC Formation

The filing fee for articles of organization with the Massachusetts Secretary of State is $500. There may also be additional fees for expedited processing.

3. State Tax Registration

There is no fee to register your business with the Massachusetts Department of Revenue to obtain a state tax identification number.

Home Care License In Massachusetts
Non Medical Home Care License Massachusetts

4. Federal Tax ID

There is no fee to obtain a federal tax identification number (EIN) from the IRS.

5. Insurance

Liability insurance for home healthcare businesses in Massachusetts can cost between $1,500 and $4,000 per year, depending on the size of your business and the type of coverage you need. Workers compensation insurance premiums vary depending on the number of employees and their job duties.

6. Staffing Costs

The cost of staffing your home healthcare business will depend on the number of employees and their qualifications. For example, the average hourly rate for a registered nurse in Massachusetts is $38.

7. Marketing Costs

The cost of marketing and advertising your home healthcare business will depend on the strategies you use. For example, the cost of running a digital marketing campaign can range from a few hundred dollars to several thousand dollars per month.

8. Office Rent

The cost of renting an office space for your home healthcare business will depend on the location and size of the office. For example, the average monthly rent for a 1,000 square foot office in Boston is $2,800.

9. Equipment and Supplies

The cost of medical equipment and supplies for your home healthcare business will depend on the type and quantity of items you need. For example, a hospital bed can cost between $2,500 and $6,000, while a wheelchair can cost between $250 and $2,500.

How To Start A Home Health Care Business In Massachusetts

We’re here to help you!

Consult Atlas is a non for profit consulting company that aims to solve the health care crisis by helping people like you start their own home care or home health care agencies. We provide you with everything you need to succeed, from business planning and licensing to training and marketing. We also offer ongoing support and guidance to help you grow and thrive in this rewarding and profitable field.

By starting your own home care or home health care agency, you can:

– Provide essential services to seniors, disabled, and chronically ill individuals who need assistance with daily living activities
– Create jobs and opportunities for caregivers and nurses who share your passion and vision
– Generate income and profits that you can reinvest in your business or donate to a cause of your choice
– Make a positive impact on your community and the health care system

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Starting A Non Medical Home Care Business In Massachusetts