How to Open a Home Care Agency in Maryland

If you want to learn how to open a home care agency in Maryland, 21st Century Care Providers can help. There is a home care license in Maryland that you will need to obtain before you can start a home care agency. In order to obtain a home care license in Maryland to start a home care agency, you will need to complete the Maryland home care license application and submit the home care license application to the state along with the Maryland home care license application fee. In 3-6 months the state of Maryland will visit your office to conduct the Maryland home care license inspection. 21st Century Care Providers guarantee your home care agency will obtain a Maryland home care license, completing your Maryland home care license application in its entirety and walking you through each step of the Maryland home care license survey process. For those individuals wishing to obtain a home health care license in Maryland to offer skilled nursing and therapy services, the process and requirements are not the same.

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We respond usually within 24 hours excluding weekends and holidays.  Please note: we are a consulting company that helps people start home care businesses.  We can not help you resolving issues or finding care for your loved ones.

21st Century Care Providers can help you start your home care agency successfully without a home care franchise

It is ambitious to think you can start a home care agency on your own, but the truth of the matter is, most home care agencies in Maryland are backed by a home care franchise company or dedicated home care consultant. Those that are not have been in agency for quite some time or unfortunately, are not successful. 21st Century Care Providers are the largest and most successful group of home care consultants in the industry. Even larger than most home care franchise companies.

Once you have chosen the best name for your Maryland home care agency, we will set up your Incorporation or LLC in Maryland and obtain your Tax ID and NPI Number. We will then complete your state specific Maryland home care policy and procedure manuals. It is important that you have state specific Maryland home care policies and procedures. Not only are you assuring that your agency is following Maryland home care standards, but your Maryland home care policies and procedures will also assure that you have the correct contact information should you find yourself in an emergency situation you are not prepared for.

We will send you a completed Maryland home care license application for you to sign and submit to the state for your Maryland home care license. We will assure that all details required by the state of Maryland are included in the binder we send you along with your completed Maryland home care license application (civil rights package, resumes, etc.). We will then assist you with your Maryland home care license inspection. If there are any issues during your Maryland home care license inspection we will consult you and guide you through the Maryland home care license survey and provide any necessary of plan of corrections guaranteeing you obtain your Maryland home care license.

We will provide you with an admission packet including patient information booklets, admission forms & advance directives and offer complete setup of your human resource department, including personnel files, competency evaluations, job descriptions, performance evaluations, in-service education guides and all other forms required for agency operation. We also prepare you an initial home care agency and capital expenditures budget, strategic plan and outcome based quality improvement plan to help assure your growth and success.

We will provide you with a personalized website along with our search engine agency development program which will allow potential patients, their families, doctors and facilities in your Maryland community to find your home care agency when searching for the services you provide on the internet; the same way you found 21st Century Home Care Providers. Your home care agency’s website will also come in handy after you visit physicians and facilities in your Maryland community. Your website will help to give the impression that you are a reputable agency in Maryland. Given there is no home care license in Maryland, your image and the perception of others is very important. To assist you with this effort we will also provide you with customized home care brochures and agency cards. We keep branding in mind helping to assure your name and home care agency will not soon be forgotten.

We offer ongoing home care consulting meaning anytime your home care agency or staff have any questions, comments or concerns, all they have to do is give us a call. We are a full time staff of 19 employees including 4 masters prepared registered nurses. There is no question we can’t answer.

Your home care agency and employees will have lifetime access to our live home care training seminars. Our home care training seminars are held every 3 months and always available to you at no additional cost. Our home care training seminar is intense. We will review all of the clinical and administrative aspects of home care agency operation as well as discussing how to obtain new clients, marketing your home care agency, medical and emergency scenarios and many other topics. We break into group sessions, role play and reenact scenarios. Not only will you and your staff have access to our home care training seminars every 3 months, but you will have the opportunity to network with the 50-60 other home care agencies that attend each of our training seminars. Having assisted over 1000 home care agencies with their startup process, our home care training seminars are frequently attended by many different home care agencies. This helps to make each home care training seminar a different experience from the next.

Aside from our live home care training, your home care agency and staff will have lifetime access to our intranet portal. On our intranet portal your home health aides and companion care employees with have access to more than 20 different training videos. Each video is followed by a quiz. Upon completion, your caregivers can print out a certificate showing they have completed each training video. Our intranet portal includes personal care and companion care courses as well as in-service education plans, advertising materials, and other forms and documents. You will also have the opportunity to interact with our other clients on our private home care forum where you can share ideas and ask questions with other home care agencies throughout the country.

Enjoy the benefits of a home care franchise company, but without the home care franchise fees or territory restrictions. The cost of our services is only a fraction of what you would pay a home care franchise company and the best part is, there are no ongoing fees. We help you start your very own home care agency, one you can be proud to call your very own.

For more information, please contact us today. Call 888-850-6932 or email




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I want to say I was really impressed with everything that 21st Century has done for me and my agency. From the licensing process for my agency to the operational materials and the intense training courses I attended. I felt the training was very informative and helpful when creating this type of agency. I came home with enthusiasm and ready to share all I’ve learned with my colleagues. The training was a great overview and hit on the important key parts of the agency. It was helpful to attend with others in the same industry, because we were able to share ideas and make long lasting agency relationships. I really cannot say enough of how I was impressed with your communication skills and knowledge of the industry. Anytime you take a big risk where you are investing your own money can be very scary. I was skeptical at first but now I see it was the best investment I could have ever made. I’m so excited to start a new career and to work with a consulting company that will be able to guide me all the way. Everyone in the company was nice and very easy to talk with. I like the diversity and teamwork within the company. I look forward to our next meeting.

Thank you,
Stephanie Thompson
Dynasty Home Health Care