Contacts
Division of Health Care Facility Licensure and Certification
The Details
What you need
Applicants for initial licensure or a change of ownership must satisfy applicable Determination of Need and Plan Review requirements before submitting their application for a determination of suitability.
Applicants must also submit appropriate programmatic documentation specific to their provider type. Contact the licensure coordinators for additional information and forms: (617) 753-8118
Change of ownership applicants must also provide their 4-digit DPH license number as well as a copy of the purchase and sale agreement, or other documentation of pending change of ownership.
Fees
To view specific fees by facility type, see Licensure Fee Schedule.
How to apply
- Download and complete the following:
- Attach the required documentation for compliance with fire safety requirements as detailed in the DPS Certificate or Local Occupancy Permit
- Attach a check for the appropriate fee with your application. Make the check payable to “Commonwealth of Massachusetts.”
- To view specific fees, see Table 2 - Fee Schedule (DOC)
- Mail your completed application, all attachments, and fee payment to:
Licensure Coordinator
Department of Public Health
Division of Health Care Facility Licensure and Certification
67 Forest Street
Marlborough, MA 01752
More info
Additional Licensure Actions
All licensees must contact a licensure coordinator in advance any action which will result in a change to licensure status. Advance approval under applicable licensure regulations is required for the following changes in licensure status:
- Change of location
- Addition of new beds or services or approval following renovations
- Closure