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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South Dakota has a senior population of over 155,000 residents, which accounts for around 17.4% of the state’s total population.

While South Dakota’s cost of living is slightly below the national average, the state offers a high quality of life with access to a variety of outdoor activities and scenic locations. These factors make it an attractive destination for retirees.

Senior healthcare options in South Dakota extend beyond in-home care. Nursing home facilities offer the highest level of care, but are also the most expensive, averaging $7,362 per month for a semi-private room. Assisted living facilities are a more affordable option, averaging $3,500 per month, but may require seniors to give up their own homes.

Home healthcare, which includes clinical services such as physical and occupational therapy, is available for around the same price as in-home care at an average of $4,099 per month. Adult day healthcare is the most affordable option, with an average cost of $1,486 per month, making it a cost-effective solution for seniors who don’t require around-the-clock care.


If you’re looking for a rewarding and profitable business opportunity in the healthcare industry, South Dakota is a great state to consider starting a home care agency. Here are some benefits and opportunities:

  • High demand

    According to the U.S. Census Bureau, South Dakota has a growing elderly population, with over 16% of its residents being 65 years or older. This means that there is a large and increasing need for home care services in the state.

  • Low competition

    South Dakota has relatively few home care agencies compared to other states, which means that there is a great opportunity to attract and retain clients. According to Home Care Pulse, South Dakota ranked 33rd among the states in terms of the number of home care agencies per 10,000 seniors in 2020.

  • Affordable licensing

    South Dakota has a streamlined process for obtaining a license for a home care agency. The process involves obtaining a business license and meeting other state requirements, which can save you time and money. Additionally, South Dakota offers support for small business owners.

  • Flexible services

    South Dakota 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 South Dakota 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 South Dakota, contact us today for a free consultation.


Starting a home care agency in South Dakota 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 South Dakota involves:

1. Business License

The cost of a business license in South Dakota varies by city and county. For example, the cost of a business license in Sioux Falls is $50, while the cost in Rapid City is $35.

2. LLC Formation

The filing fee for articles of organization with the South Dakota Secretary of State is $150. There may also be additional fees for expedited processing.

3. State Tax Registration

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

Home Care License In South Dakota
Non Medical Home Care License South Dakota

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 South Dakota 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 South Dakota is $27.  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 Sioux Falls is $1,200.

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 South Dakota

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 South Dakota