29 Dual-Licensed Home Care Agencies Among Nevada's 703
NevadaList editorial · 2026-09-16
Dual licensing remains rare among Nevada’s 703 agencies
As of September 2026, Nevada has 703 licensed home care agencies. Only 29 of those agencies hold dual licenses, meaning they can provide both personal care and home health services. That represents approximately 4% of the state’s total.
Most agencies specialize in one category or the other. The licensing records show personal care agencies outnumber home health agencies, with 430 and 302 licenses respectively as of September 16, 2026.
The dual-licensed model offers flexibility for families whose needs shift over time, but maintaining both license types requires separate compliance with each category’s regulatory standards.
Personal care versus home health: understanding the split
Personal care agencies assist with activities of daily living like bathing, dressing, meal preparation, and companionship. These services do not require skilled medical intervention.
Home health agencies provide medical services delivered by licensed professionals. The most common endorsements in Nevada as of September 2026 include Physical Therapy (288 agencies), Skilled Nursing (258 agencies), and Home Health Aide services (255 agencies).
Anyone choosing between personal care and home health should clarify whether their situation requires medical oversight. The Nevada Bureau of Health Care Quality and Compliance issues licenses based on the services an agency is equipped to deliver.
Geographic concentration in Las Vegas and Henderson
Las Vegas is home to 552 of Nevada’s licensed home care agencies as of September 2026, followed by Henderson with 53. Reno has 40 agencies, and North Las Vegas has 30.
The concentration in Clark County reflects population density and demand. Smaller cities like Carson City (6 agencies), Mesquite (4), and Pahrump (3) serve their local communities but account for a small fraction of the state total.
Families in Las Vegas and Henderson have access to hundreds of choices. Those in rural areas may find fewer local options and should confirm service areas when contacting agencies.
Physical therapy leads endorsed services statewide
Physical Therapy is the most common service endorsement, appearing on 288 agency licenses as of September 16, 2026. Occupational Therapy follows at 282 endorsements, then Medical Social Worker at 273, and Speech Therapy at 269.
These endorsements indicate which skilled services an agency is authorized to provide. Endorsements require qualified staff and separate approval from the licensing authority.
Nutritional Guidance appears on 78 licenses. Pharmaceutical Services for home infusion are endorsed for 26 agencies. Agencies may hold multiple endorsements, so a single license can cover several service types.
Families should ask which endorsements an agency holds before assuming a particular service is available. The state roster tracks these details for each license holder.
How to verify an agency’s licenses and endorsements
Check an agency’s standing with the Nevada Bureau of Health Care Quality and Compliance before hiring. The bureau maintains the official licensing export used for this analysis.
Ask any agency for its license number and the categories or endorsements it holds. Verify that information against the state’s public records. If a provider cannot produce a current license number, move on.
For questions about what a license type covers or whether an endorsement applies to a specific need, contact the bureau directly. Staff can clarify regulatory requirements and confirm an agency’s authorized scope of practice.
Never rely on marketing materials alone. The home care directory for Nevada lists agencies by city and category, but families should still confirm licensing details with the state before making a hiring decision.
Nevada gives families many home care options, especially in urban areas. The small number of dual-licensed agencies means most providers focus on either personal care or home health, not both.