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Assisted Living Facility: how many are there, and how many are in private practice?

An Assisted Living Facility, under NUCC taxonomy 310400000X, provides supportive services to people who can function independently in most activities but need assistance or monitoring for safety and well-being. This page summarizes 26,295 active US NPI records with this primary classification, along with their geographic distribution and the NPPES sole-proprietor flag, a data point sometimes used when researching private-practice presence.

National totals

Active NPI records26,295
Registered sole proprietors1,447 (5.5%)
NUCC taxonomy code310400000X
GroupingNursing & 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

StateActive NPIsSole proprietorsShare
Florida5,6042584.6%
California3,1812718.5%
Texas1,7571528.7%
North Carolina1,455463.2%
Minnesota1,255372.9%
Arizona1,18818015.2%
Ohio979293.0%
Colorado628172.7%
Alaska6099215.1%
Wisconsin590447.5%
Missouri543<11not reported
New Jersey541<11not reported
Georgia487326.6%
Maryland4705712.1%
Michigan455408.8%
Illinois429<11not reported
Kansas426<11not reported
Washington359133.6%
Iowa334<11not reported
Oregon325<11not reported
Utah311<11not reported
Tennessee300<11not reported
Indiana289<11not reported
Nebraska282<11not reported
Pennsylvania275114.0%
New York269<11not reported
Massachusetts268<11not reported
Maine262124.6%
Virginia259124.6%
South Carolina239145.9%
South Dakota200<11not reported
Idaho184<11not reported
Nevada156159.6%
New Mexico153<11not reported
Montana152<11not reported
Arkansas131<11not reported
Mississippi122<11not reported
Oklahoma116<11not reported
Connecticut89<11not reported
Alabama85<11not reported
New Hampshire82<11not reported
Kentucky77<11not reported
Rhode Island69<11not reported
Delaware59<11not reported
Louisiana51<11not reported
North Dakota42<11not reported
Wyoming38<11not reported
District of Columbia33<11not reported
Vermont30<11not reported
West Virginia29<11not reported
Hawaii16<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017830
2018881
20191,159
20201,344
20211,214
20221,089
20231,548
20241,900
20252,038
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

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 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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