Change location for a temporary nursing service agency

Learn how to notify us if your temporary nursing service agency (nursing pool) changes location.

Division of Health Care Facility Licensure and Certification

The Details of Change location for a temporary nursing service agency

What you need for Change location for a temporary nursing service agency

You will need to provide the following information in the Application for Change of Location

  • Agency Registration Number
  • Agency Name
  • Office address prior to move
  • Office address after move
  • New telephone and fax numbers
  • Start date for the new address

Fees for Change location for a temporary nursing service agency

Please submit one check for all location changes, and make it payable to "Commonwealth of Massachusetts."

Name Fee Unit
Change of location $100 for each location change

How to change Change location for a temporary nursing service agency

  1. Download and complete the Application for Change of Location (DOCX)
  2. Mail completed application and check for fee payment(s) to:

    Licensure Coordinator
    Department of Public Health, Division of Health Care Facility Licensure and Certification
    67 Forest Street
    Marlborough, MA 01752

Downloads for Change location for a temporary nursing service agency

Contact for Change location for a temporary nursing service agency

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