About Us

21st Century Health Care Consultants have 100’s of references from individuals just like you. Existing Home Health Care Agencies aand individuals looking to open a new Home Health Care Agency can rely of 21st Century Health Care Consultants. We are the premier Health Care Consultants, assuring we will get your Agency’s Home Health Care License and Medicare Accreditation as fast as your state allows.

We are not your ordinary Health Care Consultants. 21st Century Health Care Consultants offer a specialized lifetime offering. Best of all, there are no franchise fees or hidden costs. We are Health Care Consultants, not a Franchise Company.

Choose Your Home Health Care Consultant Wisely


Choose the home care consultant that does it all. From guaranteeing your Home Health Care Agency startup will successfully obtain state home care licensure, to offering lifetime Home Health Care Agency consultation and home care training to your home care business, 21st Century Health Care Consultants are the only choice when choosing a Home Health Care consultant.

During its existence, 21st Century Health Care Consultants has successfully helped establish and helped obtain licensure and home care accreditation for more than 1000 Home Health Care businesses. 21st Century Health Care Consultants have assisted clients in the establishment of such home care businesses in all states that do not require a certificate of need (meaning the state is not accepting new license applications). We pride ourselves in our ability to complete state Home Health Care license applications quickly, without error as well as successfully preparing our clients for their home care license inspections. In our long history, we have never had a Home Health Care business fail to obtain its state license or home health care accreditation.

Today 21st Century has 22 full time employees located at its Florida headquarters and has satellite offices in Sugar Land, Texas (a suburb of Houston), Dallas, Los Angeles and Chicago. During its existence, 21st Century has obtained licensure and accreditation for over 1000 health care organizations. We have assisted clients in the establishment of such Home Care Businesses in 43 of the 50 states.

Unlike most companies who offer diluted consulting in many different areas, we offer and pride ourselves at being the best in this one area of “Medicare, Medicaid and Private Duty Accreditation Preparation and Certification”.

Just ask any one of our clients and they will tell you that everything we do is customized for each individual agency in compliance with Federal, State and Medicare requirements.

Why have we been so successful helping all of our agencies obtain accreditation and certification?

The fact is that we are only focused on the Medicare/Medicaid accreditation and certification process. This allows us to provide the very best in education, training, and preparation for certification for home health care agencies.

Rosina McFadden RN, BSN, CHPN


Rosina McFadden, MS, BSN, is known as pioneer in home care and a former CHAP Accreditation Senior Site Surveyor. Rosina received her BSN from Hunter College and received an MS in Community Health Administration from Long Island University. Rosina has had many great accomplishments, some of which she pioneered New York’s Long Term Home Health Care Program which has become the model for new programs and remains the largest and most successful in the state. She organized the largest and most successful Lifeline Program in the country. She negotiated first fee-for-service nursing contract in USA which has provided increased availability of nurses. She founded a nationally recognized Home Care Department whose budget grew to $20 million and 260,000 visits under her leadership. Rosina provided leadership and expertise in development of the Long Term Home Health Care Program for the state of Hawaii. She was the First Vice President for the Home Care Association of New York State and developed procedures for recording and maintenance of records to provide improved accessibility, clarity, time efficiency and potential analysis of data. She was the Chairperson of the Public Policy Committee, Legislative Analysis and Action Committee for the Home Care Association. She was First Vice President, Board of Directors of the Brooklyn Lung Association. She was a member of the New York State Senate Health Committee, Paraprofessional Task force and the Professional Affairs Policy Committee of the Greater New York Hospital Association. Recipient of the Ruth F. Wilson Award from the Home Care Association of New York State for outstanding contributions of statewide significance to the home care field and recipient of the New York State Legislature’s Nurse of Distinction, Nurse of the year Award.  Rosina McFadden is presently the CEO of 21st Century Health Care Consultants Group and the company’s chief clinician and Clinical Servant Leader.