Welcome to 21st Century Health Care Consultants
Start a Home Care Business with 21st Century
We're not just your typical certified home care consulting company. 21st Century Home Care Consultants goes above and beyond. We've already guided over thousands of home care agencies through the start of their own home care business.
Our dedicated team at 21st Century Health Care Consultants comprises of experienced home care consultants with years of experience in the industry. We will be by your side, providing support and guidance every step of the way as you embark on your journey to establish a new agency.
What sets us apart is that we offer the most comprehensive services for our clients. Renowned as the top home care consultants, we adopt a hands-on approach by completing all licensing applications, ensuring a smooth and successful approval process. Don't forget to ask about our licensing approval guarantee – your peace of mind is our priority.

21st Century Health Care Consultants is a company that helps entrepreneurs start and grow non-medical home care agencies across the U.S. They guide new agencies through every step — state licensing, policy and procedure development, accreditation support, caregiver training, marketing, and ongoing operational consulting. They also support existing agencies looking to expand or strengthen compliance and quality.
At the core, our business is built around giving people the tools and confidence to run a home care agency that actually stands up in the real world — not just on paper.
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Complete the form below for a free consultation, and our welcoming consultants will reach out to you soon. We look forward to hearing from you!
Disclaimer: This form is not for inquiries about starting a group/nursing home, employment, Home Health Aide certifications, CNA training, or any other individual training programs. We are not an educational institution.
Start a Home Care Business in Your State
Ready to start a home care business? A Home care agency offers essential "non-clinical" or "non-skilled" care, delivered by trained professional caregivers directly within the individual's home environment. You can open either a companion care or personal care agency.
As a Companion Care agency, you will be able to do all of the ‘Hands-Off’ services required that keep clients independent and in their homes. Your non-medical caregivers will do things like chores, medicine reminders, light housework, and meal preparations.
As a Personal Care agency, you can do ‘Hands-On’ Services. Services like dressing, feeding, mobility, and attendance at physician and hospital visits. You give your clients a sense of independence and the ability to stay in their homes.
We are more than a certified home care consulting company. 21st Century Health Care Consultants have helped thousands of home care agencies get started with opening their home care business. If you're considering opening a home care agency, we're here to assist you.
Click on the home care packages and agency types below to learn more.

Starting a Home Care Skilled Agency is In Your Future
Are you considering starting a Home Care Skilled Agency? A Home Care Skilled Agency provides essential "clinical" or "skilled" care delivered by licensed nurses and therapists in a patient's home. This specialized form of care goes beyond non-medical assistance, offering medical procedures and therapies tailored to individual health needs. Skilled professionals, such as nurses and therapists, play a crucial role in supporting individuals recovering from illness, surgery, or managing chronic conditions by delivering expert care in a comfortable and familiar setting. While Home Care Skilled Agencies can accept private pay and private insurance, they are not eligible to accept Medicare.
If you're considering the establishment of a home care skilled agency, do it with a certified home health care consultant. 21st Century Health Care Consultants will be with your every step of the way.
Click on the home care skilled business models below to learn more.
Start a Health Care Agency for Your Community
Thinking about launching a home healthcare business? This type of business provides crucial "clinical" or "skilled" care, delivered by licensed nurses and therapists directly in the patient’s home. Unlike basic non-medical assistance, this care involves specialized medical treatments and therapies tailored to meet each patient’s specific health needs. Nurses and therapists play a key role in delivering expert care, particularly for individuals recovering from surgery, illness, or managing chronic conditions. Plus, home health agencies can accept Medicare, making it easier for patients to access the care they need at home.
If you're considering the establishment of a home health care agency, do it with a certified home health care consultants. 21st Century Health Care Consultants will be with your every step of the way.
Click on the home health care business models below to learn more.
Have A Heart to Start a Hospice Agency?
Have you always wanted to start a hospice agency? A hospice agency specializes in providing compassionate end-of-life care to individuals facing terminal illnesses. The primary focus of hospice care is on enhancing the quality of life for patients and their families by managing pain and symptoms, offering emotional and spiritual support, and promoting dignity and comfort in the final stages of life.
Embark on establishing your home hospice agency with confidence, guided by experienced certified home health care consultants, who will support you through every step of the process.
If you have the heart to start a hospice agency, then we can bridge the gap between aspiration to reality.
Launch a Durable Medical Equipment Agency
A Durable Medical Equipment (DME) agency specializes in providing essential medical equipment and supplies to individuals dealing with chronic illnesses, disabilities, or recovering from medical procedures.
These agencies play a crucial role in facilitating patients' access to durable and necessary medical devices such as wheelchairs, walkers, oxygen equipment, and more.
Begin the journey of establishing your home hospice agency with assurance, led by seasoned, certified home health care consultants, providing support at every stage of development.
Contact us today to learn more about the process of owning your own Durable Medical Equipment Agency.

Our Home Care Consulting Services are Perfect for When You Start a Home Care Business
Why Start a Home Care Agency?
The Home Care Industry is Here to Stay
Before you start a home care business, it's important to understand that the need for healthcare services will continue to rise at an astonishing rate because the world's older population continues to grow at an unprecedented rate. The number of Americans ages 65 and older is projected to nearly double from 52 million in 2018 to 95 million by 2060, and the 65-and-older age group’s share of the total population will rise from 16 percent to 23 percent.
In many ways, 2018 was a coming of age for the home care industry, as it steadily became recognized as a key part of the overall continuum of care due to its ability to keep older adults safely at home and out of the hospital. To add momentum to the industry, the “aging-in-place” movement is upon us, and it is huge. According to AARP, 90%+ seniors want to “Age in Place”. Seniors want to stay in their home for the duration of care which requires more home care agency services to be available to support the growth of the older population. In other words, it's a great time to start a home care business.
Lifetime Access to Training Through Home Care University
Clients who purchase our Full Home Care Agency Packages receive lifetime access to training through Home Care University, our comprehensive online learning platform designed to support your agency for the long haul. You’ll gain on-demand access to training videos, PowerPoint presentations, templates, marketing and sales resources, and ongoing marketing coaching—available anytime, anywhere.
Study at your own pace, on your own schedule, with practical guides and tools you can apply immediately. This is forever access for the life of your agency, ensuring you’re never without support as your business grows and evolves. Upon completion of your full agency package purchase, you’ll receive a login invitation and can begin accessing training materials right away.
What Is Best For You?
Structure or Freedom for Your Home Care Business?

Franchise Vs. Independent.
Aspiring home care business owners often choose between starting an independent agency or purchasing a franchise. Franchises offer structured systems, branding, and support, while independent ownership provides flexibility and control. The right choice depends on individual goals, budget, and level of experience. With dozens of home care franchise brands available, selecting the right one can be challenging. Each franchise differs in terms of support, compliance readiness, territory protection, training quality, and operational model. Making the right decision early on can save significant time, money, and frustration. Before taking the leap, it’s important to understand what each path can offer. Both franchise and independent ownership can lead to a rewarding, profitable business.
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