Nevada's 306 Home Health Agencies: The Higher-Barrier Category
By Nicolas Sartor · 2026-09-16 · Updated 2026-09-19
Nevada has 306 licensed home health agencies as of September 18, 2026, the smaller of the state’s two home care categories behind 441 personal care agencies, with the higher staffing bar. Home health agencies provide skilled nursing and therapy under a physician’s, physician assistant’s, or advanced practice registered nurse’s orders, staffed by people holding the license the law requires, and all 26 active licenses issued 20 or more years ago are home health licenses. The oldest dates from 1983; Nevada’s personal care regulations date only from 2008.
How many licensed home health agencies operate in Nevada?
Nevada’s roster carries 306 home health licenses as of September 18, 2026, per the state’s Health Care Quality and Compliance. That trails the 441 personal care agencies in the same export, and the two categories barely overlap: 24 agencies hold both, leaving 282 that do home health and nothing else. The two sit under different statutes as well: home health agencies are licensed under NRS 449 as agencies to provide nursing in the home, and personal care agencies under NRS 449B, the chapter the 2025 Legislature created for them. See personal care vs. home health for the full distinction.
The category with the longest track record
Home health carries a real barrier to entry. Under Nevada Administrative Code Chapter 449, anyone providing a service on behalf of a home health agency must hold whatever license, registration, or certification state or federal law requires for it (NAC 449.788), and the agency has to follow the federal home health conditions of participation, 42 CFR 484.1 to 484.115, whether or not it is Medicare-certified (NAC 449.7935, in force since December 29, 2022). An agency without Medicare certification is excused from three things and nothing else: reporting OASIS assessment data to CMS (it still has to collect that data, update it on the federal schedule, and hand it to the state on request), the patient notices about what a federal program such as Medicare or Medicaid is expected to pay and which charges it may not cover, and the Medicare termination-notice and expedited-appeal procedure in 42 CFR 405.1200 to 405.1204. A personal care attendant, by comparison, is held to NAC 449.3975: at least 18, able to communicate with clients, 8 hours of training a year, and a short list of personal qualities. Billing Medicare takes separate certification on top of the Nevada license.
Tenure tells a different story than the barrier does. The 26 currently active licenses issued 20 or more years ago all sit on the home health side, the oldest being Renown Health Home Care in Reno, licensed in 1983, and the three of the 26 that also hold a personal care license (Maxim Healthcare Services in Reno, Caring Nurses in Las Vegas, and Genesis Home Health Services in Elko) added it to a home health license years later. That is not evidence that home health operators last longer. Nevada’s personal care agency regulations took effect on January 30, 2008 (NAC 449.396 to 449.3982), and the oldest personal care license on the roster dates from September 2008, so no personal care license can reach 20 years before 2028. New entrants skew the other way: 25.8% of home health agencies were first licensed in the last two years, against 34.7% on the personal care side. How old are Nevada’s home care licenses breaks the tenure curve down across both categories.
What services home health agencies provide
Home health licenses carry service endorsements (physical therapy, occupational therapy, speech therapy, skilled nursing, among others) that record which clinical services the state has on file for that agency. Not every home health agency holds every one: 21 of the 306 carry all eight, and 45 have no skilled nursing line at all. See Nevada home care endorsements explained for the full breakdown of all nine in the state export (the ninth, ISO certification, appears only on personal care licenses), and which endorsements are growing fastest.
Where Nevada’s home health agencies are located
Home health concentrates harder than the rest of Nevada’s home care market. Las Vegas alone holds 259 of the 306 home health licensees, about 85% of the category, against 78.7% for home care overall. Henderson has 17 and Reno 12.
Fourth place is where the pattern breaks. North Las Vegas ranks fourth statewide for home care with 31 licensed agencies, but only 2 of them hold a home health license, so a family there looking for skilled nursing or therapy at home is realistically searching Las Vegas and Henderson instead. Outside those four cities, just 16 home health licenses cover the rest of the state. See Nevada home care by the numbers for the full city breakdown.
Verifying an agency’s license status
Before hiring, confirm an agency’s current license status and its specific endorsements directly with the Nevada Health Care Quality and Compliance, then ask how long it has held that license. Tenure is worth asking about in this category in particular. Where 26 licenses have reached the 20-year mark and roughly a quarter were issued in the last two years, the answer separates an established operator from a recent entrant, and neither is disqualifying on its own.
Common questions
Why are there fewer home health agencies than personal care agencies in Nevada?
The roster doesn't say; entry rules differ. NAC 449.788 requires home health staff to hold whatever credential the law sets, and NAC 449.7935 holds every home health agency, Medicare-certified or not, to 42 CFR 484.1 to 484.115; an uncertified agency skips only OASIS reporting to CMS (still collecting it) and some federal-payment notices and appeals. A personal care attendant needs to be 18 plus 8 training hours a year.
Can a home health agency automatically provide all types of therapy?
No. Each home health license lists its own endorsements, and an agency can hold one of the state's 306 home health licenses with no speech therapy, occupational therapy, or even skilled nursing line on its state record. If the service you need isn't listed, ask the agency which license covers it and confirm with HCQC before assuming it is available.
What separates home health from personal care licensing in Nevada?
The statute. Home health agencies are licensed under NRS 449 as agencies to provide nursing in the home, delivering skilled nursing and therapy under the orders of a physician, physician assistant, or advanced practice registered nurse. Personal care agencies moved to their own chapter, NRS 449B, in 2025, and are licensed mainly for nonmedical help with daily living. An agency that does both holds two licenses.
Where are most of Nevada's home health agencies located?
Las Vegas, with 259 of the 306. Outside the four largest cities only 16 home health licenses exist statewide: 2 each in Carson City, Sparks, Elko, and Mesquite, 1 each in Pahrump, Ely, Winnemucca, Laughlin, Incline Village, Spring Valley, and Stateline, and 1 Nevada license addressed in South Lake Tahoe, California.
Does a longer-held license mean a better home health agency?
Not on its own. A license first issued 20 or more years ago and active today, as 26 of Nevada's are, says the agency has kept renewing; the export records the first-issue date and the current status, nothing in between. It measures nothing about current staffing, endorsements, or outcomes, so treat tenure as one input rather than the answer.
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