Healthcare Provider Licensing, and Certification Starts at $300 yr

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North Carolina has a significant senior population of over 1.6 million residents, accounting for 15.8% of the state’s total population.

North Carolina has a cost of living that is below the national average, and with its diverse geography, from mountains to beaches, the state is an attractive option for older Americans looking to retire.

Seniors in North Carolina have access to various healthcare services, including nursing homes, which provide the highest level of care but come at a higher cost than in-home care, averaging $7,179 per month for a semi-private room. Assisted living facilities are an alternative option, costing an average of $4,171 per month. However, seniors may lose the benefit of staying in their own homes.

Home healthcare, which includes clinical services such as physical and occupational therapy, is a comparable cost to in-home care, averaging $3,956 per month. Adult day healthcare is the most affordable option, averaging $1,453 per month.


If you are considering starting a home care agency in North Carolina, you are entering a thriving industry that offers opportunities for both personal fulfillment and financial success. Here are some of the benefits and advantages of starting a home care agency in North Carolina:

  • Growing demand

    According to the U.S. Census Bureau, North Carolina has an aging population with approximately 15% of its residents being 65 years or older. As the baby boomer generation ages, the demand for home care services is expected to increase, making North Carolina a lucrative market for home care services.

  • Limited competition

    Although the number of home care agencies in North Carolina has increased in recent years, there are still opportunities for growth and expansion. According to Home Care Pulse, North Carolina ranked 27th among the states in terms of the number of home care agencies per 10,000 seniors in 2020, indicating that there is room for new entrants to enter the market.

  • Affordable licensing

    In North Carolina, home care agencies are required to obtain a license from the North Carolina Department of Health and Human Services. However, the fees for the license are relatively low compared to other states, making it an affordable option for entrepreneurs looking to start a home care agency.

  • Flexible services

    North Carolina allows home care agencies to offer a variety of services, including personal care, companion care, homemaker services, respite care, and skilled nursing care. This flexibility allows agencies to tailor their services to the specific needs and preferences of their clients.

  • Professional support

    Starting a home care agency can be challenging, but there are many resources available to help entrepreneurs navigate the process. Experienced consultants can provide guidance and support in areas such as business planning, marketing, training, and compliance.

Starting a home care agency in North Carolina can be a rewarding and profitable business opportunity for those who want to make a positive impact on the lives of seniors, disabled, and chronically ill individuals. If you’re interested in learning more about how to start a home care agency in North Carolina, contact us today for a free consultation.


Starting a home care agency in North Carolina 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 North Carolina involves:

1. Business License

The cost of a business license in North Carolina varies by city and county. For example, the cost of a business license in Charlotte is $100, while the cost in Raleigh is $75.

2. LLC Formation

The filing fee for articles of organization with the North Carolina Secretary of State is $125. There may also be additional fees for expedited processing.

3. State Tax Registration

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

Home Care License In North Carolina
Non Medical Home Care License North Carolina

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 North Carolina 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 North Carolina is $29. 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 Charlotte is $1,300.

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 $2,000 and $5,000, while a wheelchair can cost between $200 and $2,000.

How To Start A Home Health Care Business In North Carolina

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 North Carolina