National totals
| Active NPI records | 26,295 |
| Registered sole proprietors | 1,447 (5.5%) |
| NUCC taxonomy code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
What this specialty covers
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Reading the sole-proprietor share
For this specialty, 1,447 records, or 5.5%, are flagged as sole proprietors in NPPES. That share describes a self-reported NPPES field, not a verified ownership or operating model. It is therefore an imperfect proxy for private practice: a facility can be privately operated without that flag, and a flagged record does not by itself establish how care is organized.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Florida | 5,604 | 258 | 4.6% |
| California | 3,181 | 271 | 8.5% |
| Texas | 1,757 | 152 | 8.7% |
| North Carolina | 1,455 | 46 | 3.2% |
| Minnesota | 1,255 | 37 | 2.9% |
| Arizona | 1,188 | 180 | 15.2% |
| Ohio | 979 | 29 | 3.0% |
| Colorado | 628 | 17 | 2.7% |
| Alaska | 609 | 92 | 15.1% |
| Wisconsin | 590 | 44 | 7.5% |
| Missouri | 543 | <11 | not reported |
| New Jersey | 541 | <11 | not reported |
| Georgia | 487 | 32 | 6.6% |
| Maryland | 470 | 57 | 12.1% |
| Michigan | 455 | 40 | 8.8% |
| Illinois | 429 | <11 | not reported |
| Kansas | 426 | <11 | not reported |
| Washington | 359 | 13 | 3.6% |
| Iowa | 334 | <11 | not reported |
| Oregon | 325 | <11 | not reported |
| Utah | 311 | <11 | not reported |
| Tennessee | 300 | <11 | not reported |
| Indiana | 289 | <11 | not reported |
| Nebraska | 282 | <11 | not reported |
| Pennsylvania | 275 | 11 | 4.0% |
| New York | 269 | <11 | not reported |
| Massachusetts | 268 | <11 | not reported |
| Maine | 262 | 12 | 4.6% |
| Virginia | 259 | 12 | 4.6% |
| South Carolina | 239 | 14 | 5.9% |
| South Dakota | 200 | <11 | not reported |
| Idaho | 184 | <11 | not reported |
| Nevada | 156 | 15 | 9.6% |
| New Mexico | 153 | <11 | not reported |
| Montana | 152 | <11 | not reported |
| Arkansas | 131 | <11 | not reported |
| Mississippi | 122 | <11 | not reported |
| Oklahoma | 116 | <11 | not reported |
| Connecticut | 89 | <11 | not reported |
| Alabama | 85 | <11 | not reported |
| New Hampshire | 82 | <11 | not reported |
| Kentucky | 77 | <11 | not reported |
| Rhode Island | 69 | <11 | not reported |
| Delaware | 59 | <11 | not reported |
| Louisiana | 51 | <11 | not reported |
| North Dakota | 42 | <11 | not reported |
| Wyoming | 38 | <11 | not reported |
| District of Columbia | 33 | <11 | not reported |
| Vermont | 30 | <11 | not reported |
| West Virginia | 29 | <11 | not reported |
| Hawaii | 16 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 830 |
| 2018 | 881 |
| 2019 | 1,159 |
| 2020 | 1,344 |
| 2021 | 1,214 |
| 2022 | 1,089 |
| 2023 | 1,548 |
| 2024 | 1,900 |
| 2025 | 2,038 |
| 2026 (partial year) | 34 |
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.
- NPI records identify providers or organizations, not a complete census of physical facilities, beds, or residents.
- Primary taxonomy is an NPPES classification and may not capture every service a facility provides or every organization that offers assisted living.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many assisted living facilities are there in the United States?
The dataset contains 26,295 active NPI records whose primary taxonomy is Assisted Living Facility. This is a count of NPI records, not necessarily a count of distinct buildings or locations.
How many assisted living facilities are in private practice?
A total of 1,447 records, or 5.5%, are flagged as sole proprietors in NPPES. Because this is a self-reported field and an imperfect proxy, it should not be treated as a definitive private-practice count.
Which states have the most assisted living facilities?
Florida, California, Texas, North Carolina, and Minnesota have the largest counts among the states shown. The state figures describe active NPI records with this primary taxonomy.
How many new assisted living facilities were enumerated recently?
The latest full-year figures shown are 1,900 first enumerations in 2024 and 2,038 in 2025. First enumeration is an NPI event, so it does not necessarily mean a newly opened facility.
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