Nevada Home Care: 723 Licensed Agencies as of Sept 2026
By Nicolas Sartor · 2026-09-16 · Updated 2026-09-18
Nevada licenses 723 home care agencies as of September 18, 2026, according to the Nevada Health Care Quality and Compliance (HCQC) licensing export, split between 441 personal care agencies and 306 home health agencies, with 24 holding both. Las Vegas dominates the roster with 569 agencies, 78.7% of the statewide total, followed by Henderson (53), Reno (40), and North Las Vegas (31).
How many home care agencies does Nevada license
As of September 18, 2026, Nevada licenses 723 home care agencies according to the Nevada Health Care Quality and Compliance licensing export. This roster covers providers across two distinct categories, with different service scopes and staffing requirements set out in Nevada Administrative Code Chapter 449.
Personal care and home health, Nevada’s two license categories
The roster splits into two license types that barely overlap. 441 agencies hold personal care licenses as of September 18, 2026, and 306 hold home health licenses, but only 24 carry both. That’s how two category counts totaling 747 fit inside a roster of 723 providers: 417 agencies are personal care only, 282 are home health only, and almost everyone picks one service model and stays there.
Personal care agencies help with nonmedical daily activities, the list NRS 449B.050 opens with: toileting, dressing, bathing, grooming, meals, laundry, shopping, cleaning, and transportation. Home health agencies deliver skilled clinical services, nursing, therapy, medical social work, under the orders of a physician, physician assistant, or advanced practice registered nurse (NAC 449.800). They also sit under separate statutes. Home health agencies are licensed under NRS Chapter 449, while the 2025 Legislature moved personal care agencies into a chapter of their own, NRS 449B. An agency that wants to do both has to qualify twice.
Where Nevada’s home care agencies are located
Las Vegas dominates with 569 licensed agencies, 78.7% of every provider Nevada licenses. Henderson ranks second with 53 and Reno third with 40, then North Las Vegas with 31 as of September 18, 2026. Each of the four reads differently up close: Las Vegas is adding agencies fastest, Henderson has the youngest roster by license age, Reno is the most established, and North Las Vegas sits between them. See how old are Nevada’s home care licenses for the full breakdown.
Past those four cities the numbers fall off a cliff. Carson City has 6 agencies, Mesquite and Sparks each have 4, Pahrump has 3, Elko has 2, and ten more towns, Spring Valley and Ely among them, have 1 apiece. Everywhere else, a family is looking at an agency willing to drive in, which puts travel time into every visit.
Which services home health agencies endorse most
Physical therapy is the most endorsed service among licensed home health agencies, carried by 292 of Nevada’s 306 home health providers, 95% of the category, as of September 18, 2026. Occupational therapy (286), medical social worker services (277), speech therapy (273), skilled nursing (261), and home health aide services (258) follow close behind. Those six endorsements alone add up to 1,647 lines spread across 306 licensees, so the typical home health license carries five or six of them at once, and 45 of the 306 carry no skilled nursing line at all.
Below that tier the counts drop hard: nutritional guidance (79), intermediary service organization certification (65, every one of them on a personal care license), and pharmaceutical services for home infusion (26). Size isn’t the same ranking as growth, though: pharmaceutical services, the rarest endorsement, has the highest share of holders licensed in the last two years, and the therapy endorsements that lead on size sit near the bottom. Which endorsements are growing fastest has that comparison.
What the licensing roster can and can’t tell you
A license confirms an agency met Nevada’s operating requirements and still held active status when the state last published its roster. It says nothing about whether that agency is any good, and a status can change between one export and the next, so confirm it directly with HCQC before you hire.
Check endorsements separately from the license itself. A home health license can carry up to eight endorsements and only 21 of the 306 hold all eight, so an agency can be fully licensed and still have no line on its state record for the one service you actually need.
Outside the four largest cities, ask about travel radius before anything else. Nevada’s smallest home care markets and the six counties with no licensed agency at all cover that end of the roster in detail.
For a deeper look at any one slice of this data, see personal care vs. home health, endorsements explained, dual-licensed agencies, or how old Nevada’s licenses are.
Common questions
How many home care agencies are licensed in Nevada?
723, as of September 18, 2026. That figure counts only agencies holding active status on the day the export was pulled from the Nevada Health Care Quality and Compliance (HCQC) licensee portal, and a status can change between one export and the next, so confirm any specific agency directly with the bureau.
What is the split between personal care and home health licenses?
Of Nevada's 723 licensed agencies, 441 hold personal care licenses and 306 hold home health licenses as of September 18, 2026. Only 24 hold both, which leaves 417 agencies doing personal care alone and 282 doing home health alone.
Which Nevada city has the most licensed home care agencies?
Las Vegas leads with 569 licensed agencies, 78.7% of the statewide roster. Henderson ranks second with 53, Reno third with 40, and North Las Vegas fourth with 31, all as of September 18, 2026.
How many home care options do families have outside Nevada's largest cities?
Options drop sharply outside the top four cities. Carson City has six licensed agencies, Mesquite and Sparks each have four, Pahrump has three, Elko has two, and ten more towns, Spring Valley and Ely among them, have one apiece, per the September 18, 2026 roster.
What is the most common service endorsement among Nevada home health agencies?
Physical therapy, listed by 292 of the 306 home health licensees as of September 18, 2026, 95% of the category. Skilled nursing, the endorsement families most often assume every agency has, ranks only fifth at 261, so 45 home health licensees carry no skilled nursing line on their state record.
How many Nevada agencies are certified for intermediary or pharmaceutical services?
65 agencies hold intermediary service organization certification, and all 65 are personal care licensees, so it is not a home health credential in practice. Pharmaceutical services for home infusion is the rarest home health endorsement, listed by 26 of the 306 home health licensees as of September 18, 2026.
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