National totals
| Active NPI records | 5,669 |
| Registered sole proprietors | 1,058 (18.7%) |
| NUCC taxonomy code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
What this specialty covers
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Reading the sole-proprietor share
For this specialty, 1,058 records, or 18.7%, carry the sole-proprietor flag in NPPES. That field is self-reported and can help describe how reporting organizations identify themselves, but it is an imperfect proxy for private practice: it does not by itself establish ownership, independence, staffing, or how care is delivered. Read the percentage as a NPPES classification, not as a direct estimate of independently owned or privately operated facilities.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| North Carolina | 1,177 | 72 | 6.1% |
| Florida | 598 | 228 | 38.1% |
| Washington | 443 | 131 | 29.6% |
| Michigan | 435 | 103 | 23.7% |
| Texas | 403 | 100 | 24.8% |
| California | 278 | 33 | 11.9% |
| Nevada | 180 | 15 | 8.3% |
| Arizona | 164 | 20 | 12.2% |
| Wisconsin | 163 | 34 | 20.9% |
| Georgia | 157 | 28 | 17.8% |
| Ohio | 155 | 45 | 29.0% |
| New York | 126 | 15 | 11.9% |
| Massachusetts | 120 | <11 | not reported |
| Minnesota | 119 | 32 | 26.9% |
| Kansas | 112 | <11 | not reported |
| Hawaii | 77 | 43 | 55.8% |
| Indiana | 75 | <11 | not reported |
| Missouri | 70 | <11 | not reported |
| Louisiana | 68 | <11 | not reported |
| Virginia | 59 | <11 | not reported |
| Pennsylvania | 54 | <11 | not reported |
| New Jersey | 52 | <11 | not reported |
| Tennessee | 51 | <11 | not reported |
| Oregon | 46 | 28 | 60.9% |
| Maryland | 41 | <11 | not reported |
| Nebraska | 34 | 23 | 67.6% |
| Colorado | 31 | <11 | not reported |
| Vermont | 30 | <11 | not reported |
| South Carolina | 29 | <11 | not reported |
| Maine | 29 | <11 | not reported |
| Illinois | 26 | <11 | not reported |
| Mississippi | 26 | <11 | not reported |
| Iowa | 24 | <11 | not reported |
| Kentucky | 21 | <11 | not reported |
| Arkansas | 20 | <11 | not reported |
| Alabama | 17 | <11 | not reported |
| Alaska | 17 | <11 | not reported |
| Idaho | 16 | 13 | 81.2% |
| South Dakota | 16 | <11 | not reported |
| District of Columbia | 14 | <11 | not reported |
| Montana | 14 | <11 | not reported |
| Connecticut | 12 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2016 | 259 |
| 2017 | 246 |
| 2018 | 173 |
| 2019 | 229 |
| 2020 | 198 |
| 2021 | 231 |
| 2022 | 237 |
| 2023 | 273 |
| 2024 | 416 |
| 2025 | 514 |
Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.
Data notes
- The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
- A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
- These are active NPI records whose primary taxonomy is 311ZA0620X, not a verified census of facilities or locations.
- An NPI's enumeration year records when the NPI was issued, not necessarily when a facility opened, began operating, or adopted this taxonomy.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many Adult Care Home Facilities are there in the US?
There are 5,669 active NPI records nationally with Adult Care Home Facility as the primary taxonomy.
How many Adult Care Home Facilities are in private practice?
NPPES flags 1,058 records, or 18.7%, as sole proprietors. This is a self-reported classification and an imperfect proxy for private practice, not a direct count of privately operated facilities.
Which states have the most Adult Care Home Facilities?
The largest state counts are North Carolina (1,177), Florida (598), Washington (443), Michigan (435), and Texas (403).
How many Adult Care Home Facilities were newly enumerated in recent years?
The counts of NPIs first enumerated were 273 in 2023, 416 in 2024, and 514 in 2025.
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