Welcome to Nowell In-Home Consulting Services

We guide you step-by-step on starting your own in-home healthcare business in North Carolina, making the process clear and manageable.

A caring healthcare professional assisting an elderly person in a cozy North Carolina home.
A caring healthcare professional assisting an elderly person in a cozy North Carolina home.
Our Mission
Your Journey

We’re here to support your journey from idea to opening day, with practical advice tailored to North Carolina’s unique healthcare landscape.

Our Services

Guiding you step-by-step to launch your in-home healthcare business in NC.

1. The Startup Phase: NC Licensure & Launch

Ideal for: New entrepreneurs who need a guide through the paperwork mountain.

  • DHSR Application Assistance: We handle the heavy lifting of the North Carolina Division of Health Service Regulation application to ensure it's accepted the first time.

  • Policy & Procedure Manuals: Custom-tailored, state-compliant manuals that reflect the high standards I use in my own agencies.

  • Initial Survey Readiness: A "Mock Survey" of your office and files to ensure you pass your first state inspection with flying colors.

A person writing notes on a business plan with a laptop and coffee nearby.
A person writing notes on a business plan with a laptop and coffee nearby.
2. The Expansion Phase: Certificate of Need (CON) Strategy

Ideal for: Established agencies looking to add Home Health or Hospice services.

  • Need Determination Analysis: We analyze the NC State Medical Facilities Plan to see if your county is eligible for new service lines.

  • CON Application Support: Navigating the "Certificate of Need" law is complex; we provide the strategic narrative and data needed for a strong state submission.

  • Service Line Growth: Expert advice on transitioning from PCA (Personal Care) services to more clinical models.

Ideal for: Agency owners who need a professional "second set of eyes" or specialized training.

  • Staffing & Credentialing Audit: Learn the exact hiring and background check systems I use at Nowell Care at Home and Nowell’s In-Home Helpers.

  • One-on-One Strategy Sessions: Hour-long deep dives into your specific business hurdles, from billing issues to marketing in the NC landscape.

  • Caregiver-to-Owner Mentorship: A unique program for those with a caregiving background (like my own) looking to move into the administrative and ownership side of healthcare.

3. Specialized Consulting & Mentorship
A friendly consultant discussing plans with a client in a cozy office setting.
A friendly consultant discussing plans with a client in a cozy office setting.
Close-up of hands shaking over a signed contract with healthcare documents on the table.
Close-up of hands shaking over a signed contract with healthcare documents on the table.
gray computer monitor

Contact Us

Reach out for guidance on starting your care business.