Applications
Initial License Applications
- Application for License for Adult Care Home (PH-4124)
- Application for License for Ambulatory Surgical Treatment Center (PH-3507)
- Application for License for Assisted-Care Living Facility (PH-3501)
- Application for Certification for Home for the Aged/ACLF Administrator (PH-3203)
- Application for License for Birthing Centers (PH-3503)
- Application for End Stage Renal Dialysis Clinics (PH-3710)
- Application for License for HIV Supportive Living PH-3665)
- Application for License for Home for Aged (PH-3504)
- Application for License for Home Health Agency (PH-3506)
- Application for License for Home Medical Equipment Provider (PH-3639)
- Application for License for Hospice (PH-3638)
- Application for License for Hospital (PH-3502)
- Application for License for Nursing Home (PH-0944)
- Application for Outpatient Diagnostic Treatment Center License (PH-3847)
- Application for License for Prescribed Child Care Center (PH-3905)
- Application for Professional Support Services Provider License (PH-3760)
- Application for License for Residential Hospice (PH-3508)
- Application for Traumatic Brain Injury (TBI) Residential Home (PH-4249)
Change of Ownership (CHOW) License Applications
- CHOW Application for Adult Care Home (PH-4122)
- CHOW Application for Ambulatory Surgical Treatment Center (PH-3985)
- CHOW Application for Assisted Care Living Facility (PH-3977)
- CHOW Application for Birthing Center (PH-3982)
- CHOW Application for End Stage Renal Dialysis Clinics (PH-3978)
- CHOW Application for HIV Supportive Living Facility (PH-3976)
- CHOW Application for Home for Aged (PH-3975)
- CHOW Application for Home Health Agency (PH-3979)
- CHOW Application for Home Medical Equipment Provider (PH-3981)
- CHOW Application for Hospice (PH-3974)
- CHOW Application for Hospital (PH-3980)
- CHOW Application for Nursing Home (PH-3986)
- CHOW Application for Outpatient Diagnostic Center (PH-3983)
- CHOW Application for Prescribed Emergency Child Care Center (PH-4052)
- CHOW Application for Professional Support Services (PH-3973)
- CHOW Application for Residential Hospice (PH-3984)
- CHOW Application for Traumatic Brain Injury (TBI) Residential Home (PH-4251)
Renewal License Applications
- Renewal Application for License for Adult Care Home (PH-4123)
- Renewal Application for License for Ambulatory Surgical Treatment Center (PH-3997)
- Renewal Application for License for Assisted Care Living Facility (PH-3998)
- Renewal Application for Certification for ACLF/RHA Administrator (PH-4000)
- Renewal Application for License for Birthing Centers (PH-3996)
- Renewal Application for License for End Stage Renal Dialysis Clinics (PH-3995)
- Renewal Application for License for HIV Supportive Living Facility (PH-3994)
- Renewal Application for License for Home for Aged (PH-4002)
- Renewal Application for License for Home Health Agency (PH-3993)
- Renewal Application for License for Home Medical Equipment Provider (PH-3992)
- Renewal Application for License for Hospice (PH-4004)
- Renewal Application for License for Hospital (PH-3999)
- Renewal Application for License for Nursing Home (PH-4001)
- Renewal Application for License for Outpatient Diagnostic Treatment Center (PH-3991)
- Renewal Application for License for Prescribed Emergency Child Care Center (PH-4051)
- Renewal Application for License for Professional Support Services Provider (PH-3988)
- Renewal Application for License for Residential Hospice (PH-4003)
- Renewal Application for License for Traumatic Brain Injury (TBI) Residential Home (PH-4250)