Question 1

Do I need a local license to operate a assisted living facilities business in Nashville?

Accepted Answer

Yes. In addition to your Tennessee state license, Nashville may require a local business license and additional permits. Key local requirements include: Davidson County business tax license from the County Clerk, Metro Nashville zoning approval from the Codes Department, Use & Occupancy permit for commercial premises.

Question 2

How do I get a assisted living facilities license in Nashville, TN?

Accepted Answer

First, obtain your Tennessee Assisted Living Facility License from Tennessee Department of Health / Aging Services. Then register with Nashville for any required local business licenses. The state license costs approximately $5500 initial, $3300 renewal and takes 120-180 days to process.

Question 3

How much does a assisted living facilities license cost in Nashville?

Accepted Answer

The Tennessee state license costs approximately $5500 initial, $3300 renewal, and renewal occurs every 1-2 years. Nashville may charge additional local business license or permit fees on top of the state fee.

Question 4

Who regulates assisted living facilities businesses in Nashville?

Accepted Answer

Assisted Living Facilities businesses in Nashville are regulated at the state level by Tennessee Department of Health / Aging Services, and locally by Metro Nashville / Davidson County Clerk (Business Tax). You must comply with both state and local requirements.