Health Facilities Licensing

New Facility - Initial Licensure Application

The link below applies to all facility and license/permit types and contains important instructions for completing your new application.

For all initial/CHOW licensure applications the following items are required to be uploaded to your application:

Resume for the Administrator
- Must list and match the administrators name provided in your application.
Copy of Nevada State Business license from the secretary of state office with your NV ID number
- Only the Copy of the license will be accepted. No receipts or screenshots from SilverFlume.
- The State License must list your registered name with the secretary of state listed in your application.
- The State License must list your NV business ID with the secretary of state listed in your application.
Bill of Sale (CHOW only)
- Should include information about the buyer and seller, the date of the sale, a description of the transaction, the price, and signatures from both parties.

Lease Agreement
- All Licensed facilities must have a physical location in the State of Nevada.
- The lease must list your facility name, facility physical address, proof that you are allowed to run the facility from that location, and must be fully executed.
Articles of Organization (for LLCs only)
- Must list your LLC name, the names of the officers, and the Nevada Business ID number.
Operating Agreement (for LLCs only)
- Must list your LLC name and by fully executed.
Articles of incorporation (for corporations only)
- Must list your corporation name, the names of the officers, and the Nevada Business ID number.
Governing Body Bylaws (for corporations only)
- Must list your corporation name and be fully executed.
Partnership Agreement (if applicable only)

3-Year Business History
- Provide either the owner(s) resume proving 3 years of owning the same type of facility
- Or if that doesn't apply, provide the resume and 1 letter of reference for each owner.
Copy of (Local - City or County) Business License, Conditional Use Verification Form, Zoning Approval Letter, or Special Use Permit from the local, city or county Jurisdiction.
- Payment receipts do not meet this requirement and will not be accepted.
- The local license must list your facility name and physical location of the facility.

Use the forms below to assist with required background checks for the following facility types.

Instructions for Owners to Complete Background Check to Obtain a Health Facility License (complete step 1, within the instructions for each designated owner)
Civil Applicant Waiver Form (must be fully executed for each designated owner and uploaded to the license application)

An agency to provide personal care services in the home (PCS)
Intermediary Service Organizations (ISO)
An agency to provide nursing in the home (HHA)
A facility for intermediate care (ICF)
A facility for skilled nursing (SNF)
A residential facility for groups/assisted living(AGC)
A program of hospice care
A home for individual residential care
A facility for the care of adults during the day
A facility for hospice care
A nursing pool
Medical facilities such as hospitals that provide residential services to children Facilities for the treatment of abuse of alcohol or drugs that provide residential services to children
Hospitals that:
- Plan on becoming federally designated as a long-term acute care hospital
- Plan on having a distinct part skilled nursing facility or nursing facility
- Plan on providing swing-bed services
- Provide residential services to children