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The Peace Garden State

Home Care Licensing
in North Dakota

Navigate North Dakota'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.

NDHHS
Regulatory Body
North Dakota Department of Health and Human Services, Health
3
License Types
Home Health, Personal Care, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies
Stay Informed

North Dakota Licensing Updates & Insights

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

North Dakota at a Glance

North Dakota Home Care Licensing
Quick Reference

REGULATORY BODY
NDHHS
North Dakota Department of Health and Human Services, Health Facilities Unit
LICENSE TYPES
3 Categories
Home Health, Personal Care, Hospice
CON REQUIRED
No
Certificate of Need not required in North Dakota
MEDICAID PROGRAM
Home and Community-Based
Home and Community-Based Services (HCBS) Waiver
North Dakota License Categories

Types of Home Care Licenses
Available in North Dakota

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in North Dakota 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
END-OF-LIFE
Hospice Care
Hospice care programs in North Dakota 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 Dakota

Follow these key steps to obtain your North Dakota 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 Dakota 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 NDHHS.
DOCUMENTATION
03
Submit License Application
Complete and submit your license application to NDHHS along with all required documentation and fees.
APPLICATION
04
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all North Dakota regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
05
Pass State Survey
Prepare for and pass the state survey conducted by NDHHS. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

North Dakota Licensing
Services & Support

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

What North Dakota Agencies Say About TBOSC

Consulting & P&Ps
TBOSC made the licensing process in North Dakota so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
Fargo, ND
New Agency Startup
Starting a home care agency in Fargo felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
Bismarck, ND
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to North Dakota's requirements. We felt completely prepared for our state survey.
Jennifer
Grand Forks, ND
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
Minot, ND
Licensing Guidance
TBOSC's expertise in North Dakota licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
West Fargo, ND
Consulting
We highly recommend TBOSC to any home care agency in North Dakota. Their responsiveness and deep regulatory knowledge set them apart.
David
Williston, ND
Why TBOSC for North Dakota

Expert North Dakota 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 Dakota client we serve.

Deep North Dakota Regulatory Expertise
TBOSC brings expert knowledge of North Dakota's specific licensing requirements, including Home Health: NDCC Ch. 23-17.3, NDAC Ch. 33-03-10.1. 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 Dakota agencies.
North Dakota-Specific P&Ps
Our policies and procedures packages are written specifically for North Dakota'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 Dakota licensing process. We handle the complexity so you can focus on your agency.
North Dakota 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
Common Questions

Frequently Asked Questions About
North Dakota Home Care Licensing

How long does it take to get licensed in North Dakota?
The timeline varies depending on your license type and application completeness. Initial license up to 1 year (expires Dec 31); renewal annual; process involves application review, inspection/evaluation, approval via email then print 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 Dakota offer?
Home Health Agency (NDCC 23-17.3); Hospice Program (NDCC 23-17.4); Basic Care Facility (for room/board/support, NDCC 23-09.3 - potential home care proxy; non-medical home care not separately licensed) 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 Dakota?
Application fees in North Dakota vary by license type. 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 Dakota state survey?
A surveyor from NDHHS 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 Dakota?
Yes. North Dakota's Medicaid program (Home and Community-Based Services (HCBS) 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 Dakota
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.

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