Healthcare Provider Licensing, and Certification Starts at $300 yr

Or let us do the work for you. As a not-for-profit, we’re here to support you through the life of your home care or home healthcare business enterprise

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New Hampshire also has a significant senior population, with more than 246,000 residents aged 65 and older, making up 18.2% of the state’s total population.

New Hampshire is known for its beautiful scenery, with mountains, lakes, and forests, and has a cost of living slightly higher than the national average. These factors make New Hampshire an attractive destination for older Americans looking to retire.

Seniors in New Hampshire have access to healthcare services beyond in-home care. Nursing homes provide the highest level of care, but are also the most expensive, averaging $9,506 per month in New Hampshire for a semi-private room. Assisted living facilities, at $5,950 per month on average, are also costly but may be more affordable than nursing homes. Home healthcare, which includes clinical services such as physical and occupational therapy, averages $4,671 per month, making it a less expensive option than nursing homes or assisted living. The least expensive option, averaging $1,664 per month, is adult day healthcare.


If you’re seeking a profitable business opportunity in the healthcare industry, consider starting a home care agency in New Hampshire. Home care agencies provide essential services to seniors, disabled, and chronically ill individuals who need assistance with daily living activities. By starting a home care agency in New Hampshire, you can benefit from the following advantages:

  • High demand

    According to the U.S. Census Bureau, New Hampshire has a significant population of elderly residents, with 20.1% of its residents being 65 years or older. This means that there is a growing market for home care services in the state.

  • Low competition

    New Hampshire has relatively few home care agencies compared to other states, which means that you can have more opportunities to attract and retain clients. According to Home Care Pulse, New Hampshire ranked 23rd among the states in terms of the number of home care agencies per 10,000 seniors in 2020.

  • Affordable licensing

    New Hampshire requires home care agencies to obtain a state license, but the process is relatively straightforward and affordable. You still need to comply with federal and local regulations, such as obtaining a business license, registering with the IRS, and following labor and tax laws.

  • Flexible services

    New Hampshire allows home care agencies to offer a wide range of services, such as personal care, companion care, homemaker services, respite care, and skilled nursing care. You can tailor your services to meet 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 get professional guidance and support from experienced consultants who can help you with every step of the process, from business planning and marketing to training and compliance.

Starting a home care agency in New Hampshire can be a rewarding and profitable business opportunity for anyone who wants to make a difference in the lives of others. If you are interested in learning more about how to start a home care agency in New Hampshire, contact us today for a free consultation.


Starting a home care agency in New Hampshire 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 New Hampshire involves:

1. Business License

The cost of a business license in New Hampshire may vary by city and county. For example, the cost of a business license in Manchester is $50, while the cost in Nashua is $75.

2. LLC Formation

The filing fee for articles of organization with the New Hampshire Secretary of State is $100. There may also be additional fees for expedited processing.

3. State Tax Registration

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

Home Care License In New Hampshire
Non Medical Home Care License New Hampshire

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 New Hampshire can cost between $1,000 and $3,000 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 New Hampshire is $33. Consult Atlas Recruiting & Staffing service can help you in getting the best staff for your agency.

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. There are many digital Marketing agencies, which can help your business to grow online such as Ujatcare.

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 Manchester is $1,800.

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 $300 and $2,000.

How To Start A Home Health Care Business In New Hampshire

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 New Hampshire