You need to purchase a license to operate! What state are you in? Do you have any business background? If you can get the license you have to contact your state DOT and DOH and find out what the requirements are. You need to find a building, get supplies, get contracts with nursing homes and other facilities. This is a big undertaking you want to get in to. Some states aren't giving out licenses any more...you have to buy out a company that has one already and use theirs under the new name. This isn't a cheap business to get into either...you have to work with insurance companies to bill for services, you need insurance for your building, employees, vehicles, etc. Do some research and contact your state DOT and DOH before you go any further. See if it's even feasible for you to do this. It's not as simple as just buying an ambulance and stocking it....Good Luck!