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Adult Companion: how many are there, and how many are in private practice?

Adult Companion is a Nursing Service Related Providers classification for an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Assistance with meal preparation, laundry, and shopping may be part of a therapeutic goal in a plan of care, rather than separate services. This page shows the national count of active NPI records with this primary taxonomy and the share flagged as sole proprietors.

National totals

Active NPI records11,624
Registered sole proprietors3,718 (32.0%)
NUCC taxonomy code372600000X
GroupingNursing Service Related Providers

What this specialty covers

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Reading the sole-proprietor share

For Adult Companion, 3,718 active records, or 32.0%, have the NPPES field marked as sole proprietor. This self-reported field can help describe the specialty's business-registration profile, but it is an imperfect proxy for private practice because it does not fully identify ownership, employment, or practice arrangements.

By state

StateActive NPIsSole proprietorsShare
Nebraska5,0501,58931.5%
California1,16622719.5%
Oregon98028328.9%
Nevada87717119.5%
Florida77033543.5%
Ohio57633958.9%
Texas2699836.4%
Michigan2146429.9%
Georgia1455739.3%
District of Columbia1223932.0%
New York1024847.1%
Virginia1003737.0%
Louisiana952021.1%
North Carolina923740.2%
Pennsylvania772026.0%
Indiana742432.4%
South Carolina643046.9%
New Jersey632641.3%
Maryland622133.9%
Arizona502244.0%
Minnesota451635.6%
Tennessee431432.6%
Connecticut401230.0%
Mississippi402152.5%
Illinois40<11not reported
West Virginia38<11not reported
Wisconsin361336.1%
Alabama361336.1%
Washington351645.7%
Iowa321134.4%
Missouri311135.5%
Colorado29<11not reported
Oklahoma27<11not reported
Massachusetts25<11not reported
North Dakota251352.0%
Alaska23<11not reported
Kentucky16<11not reported
Delaware14<11not reported
New Mexico11<11not reported
Wyoming11<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017236
2018518
2019410
2020460
2021464
2022434
2023534
2024898
20255,750
2026 (partial year)68

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

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many Adult Companion providers are there in the United States?

There are 11,624 active NPI records nationally with Adult Companion as the primary taxonomy. This is a count of NPI records, not a measure of visits, service volume, or care capacity.

How many Adult Companion providers are in private practice?

NPPES flags 3,718 records, or 32.0%, as sole proprietors. Because this field is self-reported, the figure is an imperfect proxy for private practice rather than a definitive count.

Which states have the most Adult Companion providers?

The largest reported state counts are in Nebraska, California, Oregon, Nevada, and Florida, with Nebraska highest.

How many Adult Companion NPIs were first enumerated in recent years?

The first-enumeration counts were 898 in 2024, 5,750 in 2025, and 68 in 2026. These counts describe when NPI records were first enumerated, not when services began or how much care was provided.

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