Nevada's 441 Personal Care Agencies: By the Numbers
By Nicolas Sartor · 2026-09-16 · Updated 2026-09-18
Nevada licenses 441 personal care agencies as of September 2026, the larger of the state’s two home care categories, ahead of 306 home-health agencies, and it’s also the faster-growing one: 34.7% of personal-care agencies were first licensed in just the last two years, compared to 25.8% of home-health agencies. The roster doesn’t record why, but the entry rules differ: a personal care attendant needs 8 hours of training a year, while a home health agency staffs people holding whatever license or certification the law requires for their service.
The state of personal care licensing in Nevada
Personal care is the license a Nevada agency holds to help someone with daily activities (toileting, bathing, dressing, grooming, meals, laundry, shopping, cleaning, and transportation, the list NRS 449B.050 opens with) rather than clinical care. The Health Care Quality and Compliance listed 441 such agencies in its September 2026 export, 61% of the 723 on the roster, against 306 home-health agencies. The line between the two is statutory rather than marketing: a personal care license covers nonmedical services under NRS 449B (plus the medical tasks a client with a disability may direct under NRS 629.091), while providing skilled nursing in the home takes a license as an agency to provide nursing in the home under NRS Chapter 449. See personal care vs. home health for the full distinction.
Personal care is where most of the recent growth is
153 of the 441 personal care agencies were first licensed less than two years ago, 34.7% of the category against 25.8% of home health. Widen the window to five years and the two categories look alike, 242 personal care agencies (54.9%) against 52% of home health, so the gap is recent. Home health added a larger share of its roster in 2024 (47 licenses, 15.4%, against personal care’s 53, 12%); personal care pulled level in 2025 as a share of its roster (15.2% against 14.4%) and ahead in 2026, with 73 licenses issued so far this year against home health’s 25.
The entry rules point the same way. Nevada Administrative Code Chapter 449 asks a personal care attendant to be at least 18, able to read, write, and communicate with clients, and to complete 8 hours of training a year (NAC 449.3975), while anyone delivering a service for a home health agency must hold the license or certification state or federal law requires for it (NAC 449.788). For families, the lower bar cuts both ways: more choice than in any other category, and a larger share of agencies with no long track record to check. How old are Nevada’s home care licenses has the full tenure curve across both categories.
Where Nevada’s personal care agencies are located
Las Vegas holds 326 of the 441 personal-care licenses, about 74% of the category and a few points under its 78.7% share of home care overall. Henderson has 37 and Reno 30.
North Las Vegas is where the split gets extreme: 29 of its 31 licensed home care agencies hold a personal care license, the most lopsided roster of any major Nevada city. Personal care outnumbers home health in all four of the largest markets, and its share climbs as the market shrinks: 57% of Las Vegas’s 569 licenses, 70% of Henderson’s 53, 75% of Reno’s 40, and 94% of North Las Vegas’s 31. See Nevada home care by the numbers for the full city-by-city breakdown.
Dual-licensed agencies
Some agencies hold both licenses, 24 statewide, which lets one business provide non-medical assistance and skilled health services. That’s under 6% of the 441 and leaves 417 doing personal care and nothing else, so for most families the practical choice is between two separate agencies rather than one that covers both. Dual licensing doesn’t guarantee an agency offers every service either; ask which services it staffs and which it subcontracts.
How to verify a personal care agency’s license
Confirm any agency’s license status directly with the Nevada Health Care Quality and Compliance, not from marketing materials, and cross-check how a personal care agency has to operate under Nevada Administrative Code Chapter 449, attendant qualifications, a written service plan, supervisory home visits, if anything looks unfamiliar. Ask for the license number and its category, then ask how long the agency has held it. Status can change between state exports if an agency fails to renew or runs into a compliance issue, so a figure published anywhere is a starting point rather than proof.
Never assume a professional website means a valid license, and treat hesitation over a license number as a red flag.
Common questions
How many personal care agencies operate in Nevada, and how does that compare to home health?
441 as of September 18, 2026, against 306 home health agencies. The two figures describe 723 distinct agencies, since 24 hold both licenses, and a personal care license sits on 61% of the roster.
What's the growth difference between personal care and home health agencies?
It depends on the window. Over the last two years the gap is wide: 34.7% of personal care agencies were first licensed in that span against 25.8% of home health agencies. Over five years it nearly closes, 54.9% against 52%. Home health added the larger share of its roster in 2024; personal care has out-licensed it since, 73 new licenses to 25 so far in 2026.
Can a personal care agency also provide skilled nursing?
Only with a second license as an agency to provide nursing in the home under NRS 449, which 24 of Nevada's 441 personal care agencies hold. On its own, a personal care license covers nonmedical help with daily living, plus the medical tasks a client with a disability may direct under NRS 629.091. If skilled nursing matters, ask which license number covers it and check that number with HCQC.
What daily activities do personal care agencies help with?
The nonmedical services NRS 449B.050 lists for a personal care agency: toileting, dressing and undressing, bathing, grooming, preparing and eating meals, laundry, shopping, cleaning, and transportation. Skilled nursing and therapy sit under the separate home health license.
Which Nevada cities have the most personal care agencies?
Las Vegas, with 326 of the 441, then Henderson (37) and Reno (30). Personal care's share of a city's roster rises as the city gets smaller: 57% of Las Vegas's 569 licenses, 70% of Henderson's 53, 75% of Reno's 40, and 94% of North Las Vegas's 31.
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