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The Tar Heel State

Home Care Licensing
in North Carolina

Navigate North Carolina's home care, home health, and hospice licensing requirements with expert guidance from TBOSC. From application to survey success — we'll help you launch with confidence.

Schedule a Free Discovery Call Explore North Carolina Licensing
DHSR
Regulatory Body
Division of Health Service Regulation (DHSR), Department of
3
License Types
Home Health, Personal Care, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies

Quick Answer — North Carolina Home Care Licensing

To start a home care agency in North Carolina, you need a In-Home Aide / Home Health License issued by the Division of Health Service Regulation (DHSR). The application process typically takes 60–90 days and costs approximately $560+.

License Required
In-Home Aide / HH License
Regulatory Body
DHSR
Timeline
60–90 days
Application Cost
$560+
Read the full North Carolina licensing guide | Visit ncdhhs.gov

Watch: Navigating North Carolina Home Care Licensing

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Stay Informed

North Carolina Licensing Updates & Insights

Get notified when North Carolina regulations change. Join agency owners and administrators who stay ahead with TBOSC.

North Carolina at a Glance

North Carolina Home Care Licensing
Quick Reference

REGULATORY BODY
DHSR
Division of Health Service Regulation (DHSR), Department of Health and Human Ser
LICENSE TYPES
3 Categories
Home Health, Personal Care, Hospice
CON REQUIRED
No
Certificate of Need not required in North Carolina
MEDICAID PROGRAM
Personal Care Services
Personal Care Services (PCS); Community Alternatives Program for Disabled Adults
North Carolina License Categories

Types of Home Care Licenses
Available in North Carolina

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in North Carolina including personal care, homemaking, companionship, and assistance with activities of daily living.
  • Personal care and assistance with daily living activities
  • Companionship and homemaker services
  • Medication reminders and oversight
  • Transportation and errand assistance
SKILLED / MEDICAL
Home Health Agency
Medicare-certified home health agencies in North Carolina providing skilled medical services including nursing, therapy, and social work under physician direction.
  • Skilled nursing care under physician orders
  • Physical, occupational, and speech therapy
  • Medical social work services
  • Home health aide services under clinical supervision
END-OF-LIFE
Hospice Care
Hospice care programs in North Carolina providing palliative care, comfort, and support for patients with terminal diagnoses and their families.
  • Comfort care and pain management
  • Skilled nursing and physician oversight
  • Bereavement counseling and spiritual support
  • Medical social work and volunteer coordination
The Licensing Process

How to Get Licensed
in North Carolina

Follow these key steps to obtain your North Carolina home care license. TBOSC provides expert guidance at every stage — from initial application through your state survey.

01
Business Entity Formation
Register your business entity with the North Carolina Secretary of State. Choose your LLC or corporation structure and obtain your EIN.
FOUNDATION
02
Prepare Application Materials
Gather all required documentation including organizational documents, administrator qualifications, background checks, and proof of insurance as required by DHSR.
DOCUMENTATION
03
Submit License Application
Complete and submit your license application to DHSR along with all required documentation and fees.
APPLICATION
04
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all North Carolina regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
05
Pass State Survey
Prepare for and pass the state survey conducted by DHSR. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

North Carolina Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your North Carolina agency licensed — from application prep through survey success.
Schedule a Call
DOCUMENTATION
North Carolina-Specific P&Ps
Comprehensive policies and procedures written specifically for North Carolina's regulatory requirements — not generic templates.
Schedule a Call
COMPLIANCE
Survey Guidance
Expert preparation for your North Carolina state survey. We'll make sure you're ready to pass with zero deficiencies.
Schedule a Call
ACCREDITATION
Accreditation Expertise
National accreditation guidance for CHAP, ACHC, and Joint Commission — streamlining your path to recognition.
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ENROLLMENT
Medicare Provider Enrollment
Navigate the Medicare enrollment process for your North Carolina agency. We handle the paperwork and follow-through.
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North Carolina Client Results

What North Carolina Agencies Say About TBOSC

★★★★★
Consulting & P&Ps
TBOSC made the licensing process in North Carolina so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
Charlotte, NC
★★★★★
New Agency Startup
Starting a home care agency in Charlotte felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
Raleigh, NC
★★★★★
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to North Carolina's requirements. We felt completely prepared for our state survey.
Jennifer
Greensboro, NC
★★★★★
Survey Preparation
Working with TBOSC was one of the smartest investments we made. Their survey preparation guidance gave us the confidence we needed to pass on the first try.
Robert
Durham, NC
★★★★★
Licensing Guidance
TBOSC's expertise in North Carolina licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
Winston-Salem, NC
★★★★★
Consulting
We highly recommend TBOSC to any home care agency in North Carolina. Their responsiveness and deep regulatory knowledge set them apart.
David
Fayetteville, NC
Why TBOSC for North Carolina

Expert North Carolina Licensing
Consulting You Can Trust

TBOSC was started by a home care operator who understands the challenges of starting and running an agency. We bring that hands-on experience to every North Carolina client we serve.

Deep North Carolina Regulatory Expertise
TBOSC brings expert knowledge of North Carolina's specific licensing requirements, including Home care/home health: NCGS 131E-135 to 142, 10A NCAC 13J. We stay current as regulations change so you don't have to.
100% Survey Pass Rate Nationwide
Every TBOSC client that has completed our licensing and survey preparation process has passed their initial state survey. That track record extends to North Carolina agencies.
North Carolina-Specific P&Ps
Our policies and procedures packages are written specifically for North Carolina's regulatory framework — not generic templates. They're updated as regulations change.
End-to-End Licensing Support
From initial application through survey preparation, TBOSC guides you through every step of the North Carolina licensing process. We handle the complexity so you can focus on your agency.
North Carolina Results
0%
First-survey pass rate for TBOSC clients nationwide
0+
Home care agencies & leaders served across the country
50
States where TBOSC provides licensing and compliance consulting
Only
Consulting company built by a former home care agency operator
ACHC Strategic Partner Logo

Official ACHC Strategic Partner

The Business of Senior Care is an official Strategic Partner of the Accreditation Commission for Health Care (ACHC) — one of the most respected accreditation bodies in the home care industry. Learn about ACHC accreditation →

Common Questions

📖 Want the complete step-by-step guide?

Read our full guide: How to Start a Home Care Agency in North Carolina (2026 Guide) →

Frequently Asked Questions About
North Carolina Home Care Licensing

How long does it take to get licensed in North Carolina?
The timeline varies depending on your license type and application completeness. Up to 12 months from initial application submission to complete requirements and obtain license Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does North Carolina offer?
Home care agency license (10A NCAC 13J); Home health agency license (certified, requires Medicare certification, 10A NCAC 13J); Hospice agency license (10A NCAC 13K) TBOSC can help you determine which license type is right for your business model and guide you through the specific requirements.
What is the application fee for a license in North Carolina?
Home care: Initial ~$450-$510 (sources vary); renewal $400; Hospice/home health similar per fee schedules (exact current fees on DHSR forms) In addition to application fees, budget for business formation, insurance, office space, and policies and procedures documentation. TBOSC can help you create a detailed startup budget.
What happens during the North Carolina state survey?
A surveyor from DHSR will review your policies and procedures, verify documentation, inspect your office, and confirm you meet all regulatory requirements. TBOSC provides dedicated survey prep consulting to help you pass with zero deficiencies.
Can TBOSC help with Medicare and Medicaid enrollment in North Carolina?
Yes. North Carolina's Medicaid program (Personal Care Services (PCS); Community Alternatives Program for Disabled Adults (CAP/DA) waiver) offers opportunities for home care providers. TBOSC assists with Medicare provider enrollment and Medicaid waiver program applications.
Ready to Move Forward?

Let's Get Your North Carolina
Agency Licensed & Open

Whether you're starting from scratch or need help at a specific stage, TBOSC offers 1-on-1 consulting tailored to exactly where you are in the process.

Schedule a Free Discovery Call Call 888-818-8426
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