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Home Care License in New York
Start Your Home Care Agency in New York
As a nonprofit organization, we make licensing simple, compliant, and cost-effective. From CON filing to inspection, Consult Atlas Foundation uses AI to reduce errors and speed up approval — so you can open your agency confidently.
Complete Licensing Solutions for Every Healthcare Business in New York
Welcome
Please select a license type to view details.
Step-by-Step Licensing Process
Why New York Is the Smartest Choice to Start Your Home Care Agency
Launch your home care agency with AI accuracy and nonprofit support designed to eliminate errors, speed up approval, and lower startup costs. With thousands of seniors needing in-home care, New York offers both a growing market and a meaningful way to serve others. Here’s why it’s the best time to start a new venture in New York:
High Demand
New York has one of the largest and fastest-growing senior populations in the U.S. — more than 17% of residents are aged 65+. Families increasingly prefer in-home and community-based support instead of long-term institutional care, creating massive demand for licensed home care and healthcare agencies.
Flexible Services
New York allows home care agencies to offer a wide range of services, including personal care, companion care, homemaker services, respite care, and skilled nursing care. This flexibility allows you to customize your services to meet the specific needs and preferences of your clients.
Dedicated Personal Support
Starting a home care agency can be a complex process, but you can receive expert guidance and support from dedicated personal consultants. They can assist you in every aspect of the process, including business planning, marketing, training, and compliance.
Licensing Requirements
At Consult Atlas Foundation, we make the licensing journey affordable, accurate, and stress-free. As a nonprofit powered by AI, we eliminate human errors, simplify documentation, and help entrepreneurs across the U.S. obtain licenses quickly.
Starting a home care agency in New York is an excellent opportunity to make a positive impact on the lives of others while also generating income. If you want to learn more about how to start a home care agency in NY, don’t hesitate to get in touch with us for a free consultation.
How Much Would It Cost to Start A Care Business?
Starting a home care agency in New York requires some initial investment and ongoing expenses. Here are some estimated costs associated with starting your agency in New York:
The cost of a business license in New York varies by city and county. For example, some permits in New York City may cost around $100, while smaller municipalities may charge less. Always check your local city or county office for the precise rate.
Filing the Articles of Organization with the New York Secretary of State currently costs $200. In addition, due to New York’s publication requirement, you may incur extra costs of $300 to $1,500+ (depending on your county) for newspaper publication.
Registering your business with the New York Department of Taxation and Finance (to obtain a state tax ID) typically does not carry a fee.
You can apply for a Federal Employer Identification Number (EIN) at no cost via the IRS.
Depending on business size and scope:
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General and professional liability may cost $1,500 to $5,000+ per year.
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Workers’ compensation premiums depend on number of employees and their risk classification.
The average pay for a home care RN in NY is around $42.25 per hour in recent postings. In some sources, Home Care RNs are compensated as high as $94,200 annually (~$48/hr)
Digital marketing campaigns can run from a few hundred to several thousand dollars per month, depending on scope, ad spend, and channels.
Rent varies widely by location. In parts of Manhattan and premium neighborhoods, a 1,000-square-foot space may rent for around $5,000/month, though this can be higher or lower depending on zoning and building condition.
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Hospital-style beds may cost $2,500 to $6,000+ depending on features.
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Standard wheelchairs often cost $250+, but prices depend on brand, functionality, and supplier.
Client Success Story
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My Journey to Building My Healthcare Venture
Frequently Asked Questions
To start a home care agency in New York, you must apply for a Licensed Home Care Services Agency (LHCSA) license through the New York State Department of Health (NYSDOH). The process includes:
- Filing a Certificate of Need (CON) application,
- Completing Form DOH-1056,
- Submitting your business plan, policies, and proof of insurance and pass a pre-opening inspection.
Consult Atlas Foundation handles every step with AI-powered documentation and nonprofit guidance.
A Certificate of Need (CON) ensures that new home care agencies are needed within a specific area.
The Public Health and Health Planning Council (PHHPC) reviews applications based on community demand, staffing plans, and financial feasibility.
Most LHCSA and CHHA applicants must complete this step. Consult Atlas prepares the entire CON package with data-driven justifications to speed up approval.
The timeline for home care licensing in New York typically ranges from 9 to 18 months.
The duration depends on how complete your application is and the Certificate of Need (CON) review timeline.
Working with Consult Atlas Foundation’s AI-powered system can reduce common delays caused by missing forms or human errors.
Startup costs usually range from $30,000 to $100,000, depending on size, staffing, and location.
Typical expenses include:
- $2,000 application fee,
- $200 LLC filing,
- Insurance and training costs,
Marketing, staff payroll, and office rent.
With Consult Atlas Foundation, you can begin with micro-installments starting at $250/month.
No. In New York, you must first receive your LHCSA license and pass a DOH inspection before providing any services.
Operating without a license can result in penalties or disqualification.
Consult Atlas Foundation ensures your setup is compliant and inspection-ready before you launch.
You’ll need:
- Administrator or Director of Nursing,
- Registered Nurses (RNs) or Licensed Practical Nurses (LPNs),
- Home Health Aides (HHAs) — 75-hour trained and registered,
- Personal Care Aides (PCAs) — state-approved training.
All staff must have background checks and annual competency evaluations.
- LHCSA (Licensed Home Care Services Agency): Provides non-medical and some nursing care; reimbursed mainly through Medicaid or private pay.
- CHHA (Certified Home Health Agency): Offers skilled nursing and therapy; reimbursed by Medicare and Medicaid.
Consult Atlas Foundation helps you determine which license best fits your goals and handles the entire setup.
Accreditation isn’t mandatory for LHCSAs, but it’s highly recommended for CHHAs and hospice agencies that bill Medicare or Medicaid.
Approved accrediting bodies include:
- ACHC, CHAP, and The Joint Commission.
Consult Atlas Foundation provides accreditation-ready policy manuals and guidance.
You must maintain:
- General liability,
- Professional liability (malpractice),
- Workers’ compensation, and
- Auto insurance (if transportation is offered).
Having active coverage is required before final DOH approval.
Once licensed, you must:
- File annual Uniform Data Collection System (UDCS) reports,
- Maintain staff and client records,
- Update the DOH about any ownership or location changes,
- Stay inspection-ready at all times.
Consult Atlas Foundation continues to support you with compliance monitoring and renewal filings.
To apply for a nursing license in New York, you must submit an application through the New York State Education Department (NYSED) Office of the Professions.
Steps include:
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Complete Form 1 – Application for Licensure online at op.nysed.gov.
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Pay the $143 application fee (for RN) or $143 (for LPN).
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Submit proof of education, exam results, and citizenship/legal presence.
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Request your nursing school to send transcripts directly to NYSED.
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Pass the NCLEX-RN or NCLEX-PN exam.
We will be there with you every step.
We are a nonprofit organization, not a sales company.
Our mission is to help entrepreneurs launch compliant, community-based home care agencies at a fraction of typical costs.
With AI-powered systems, we ensure error-free documentation, faster approvals, and ongoing compliance support — starting at just $250/month.
We’re here to help you!
Consult Atlas Foundation is a non-profit consulting company that aims to solve the healthcare crisis by helping people like you start their own home care or home healthcare 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 healthcare 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 healthcare system.
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