Applications

An Official Pennsylvania Government Website

Translate

DOS

Pennsylvania Department of State

Business & Charities

Professional Licensing

Voting & Elections

State Athletics

Begin Main Content Area

Applications

APPLY ONLINE HERE for the following:

Nursing Home Administrator
Administrator-In-Training Program

To download a paper application, click on a link below:

Application for a Temporary Permit to Act as a Nursing Home Administrator (PDF)
Application for Approval as a Provider of Continuing Education Programs (PDF)
NHA Request for Continuing Education Approval (PDF)
Application for Approval of Continuing Education Program (PDF)

Reactivation Application

(for EXPIRED or INACTIVE licenses)The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online login to your account at www.pals.pa.gov and click the pencil icon next to your license number to start the reactivation process.

<<Previous Page

Content Editor

Contact

State Board of Examiners of Nursing Home Administrators

P.O. Box 2649

Harrisburg, PA 17105-2649

Phone - (717) 783-7155

Fax - (717) 787-7769

ST-NHA@PA.GOV

Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and any other outside agency or related communications.

To contact the Board with general or application questions or assistance related to your license, application and/or for any technical support pertaining to the PA Licensing System known as PALS, please reference the link below.

Create a Ticket