National totals
| Active NPI records | 39,322 |
| Registered sole proprietors | 6,022 (15.3%) |
| NUCC taxonomy code | 253Z00000X |
| Grouping | Agencies |
What this specialty covers
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Reading the sole-proprietor share
For this specialty, the sole-proprietor share is the portion of active records whose NPPES record is flagged as a sole proprietorship: 6,022 records, or 15.3%. Because the flag is a self-reported NPPES field, it is an imperfect proxy for private practice and does not establish an agency's ownership, independence, or operating model.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Florida | 3,336 | 581 | 17.4% |
| Ohio | 3,318 | 1,875 | 56.5% |
| Texas | 3,215 | 254 | 7.9% |
| North Carolina | 2,194 | 188 | 8.6% |
| Pennsylvania | 2,140 | 140 | 6.5% |
| California | 2,040 | 158 | 7.7% |
| Michigan | 1,678 | 248 | 14.8% |
| Georgia | 1,545 | 151 | 9.8% |
| Indiana | 1,379 | 181 | 13.1% |
| Missouri | 1,279 | 84 | 6.6% |
| Virginia | 1,142 | 96 | 8.4% |
| Illinois | 1,061 | 42 | 4.0% |
| Tennessee | 1,020 | 110 | 10.8% |
| Louisiana | 983 | 52 | 5.3% |
| South Carolina | 915 | 114 | 12.5% |
| New Jersey | 842 | 68 | 8.1% |
| Nevada | 812 | 223 | 27.5% |
| Nebraska | 767 | 470 | 61.3% |
| Arizona | 742 | 63 | 8.5% |
| Colorado | 731 | 43 | 5.9% |
| Maryland | 703 | 60 | 8.5% |
| Wisconsin | 652 | 77 | 11.8% |
| Massachusetts | 630 | 56 | 8.9% |
| Minnesota | 609 | 56 | 9.2% |
| Maine | 556 | 35 | 6.3% |
| New York | 462 | 61 | 13.2% |
| Mississippi | 400 | 44 | 11.0% |
| Connecticut | 393 | 22 | 5.6% |
| Alabama | 375 | 35 | 9.3% |
| Washington | 336 | 30 | 8.9% |
| North Dakota | 290 | 80 | 27.6% |
| Iowa | 270 | 28 | 10.4% |
| Kentucky | 262 | 31 | 11.8% |
| Oregon | 230 | 40 | 17.4% |
| Arkansas | 224 | 21 | 9.4% |
| Idaho | 221 | 41 | 18.6% |
| New Mexico | 170 | <11 | not reported |
| Utah | 162 | <11 | not reported |
| West Virginia | 158 | 39 | 24.7% |
| Hawaii | 155 | <11 | not reported |
| Kansas | 145 | 11 | 7.6% |
| District of Columbia | 124 | 41 | 33.1% |
| Oklahoma | 115 | <11 | not reported |
| New Hampshire | 99 | <11 | not reported |
| Delaware | 93 | <11 | not reported |
| Montana | 89 | <11 | not reported |
| South Dakota | 74 | <11 | not reported |
| Alaska | 68 | <11 | not reported |
| Wyoming | 41 | <11 | not reported |
| Rhode Island | 29 | <11 | not reported |
| Vermont | 15 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 1,560 |
| 2018 | 1,587 |
| 2019 | 2,050 |
| 2020 | 2,889 |
| 2021 | 2,867 |
| 2022 | 2,961 |
| 2023 | 3,832 |
| 2024 | 4,976 |
| 2025 | 6,015 |
| 2026 (partial year) | 121 |
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.
- - An NPI record is not necessarily a distinct agency location and does not measure staffing, caseload, or service volume.
- - This view includes records using the taxonomy as their primary classification; first-enumeration year reflects NPI timing, not necessarily the date an agency began operating.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many In Home Supportive Care Agencies are there in the US?
The page reports 39,322 active NPI records nationally with In Home Supportive Care Agency as the primary taxonomy. This is a count of NPI records, not a direct count of offices, staff, or service capacity.
What percentage of In Home Supportive Care Agencies are sole proprietors?
A total of 6,022 records, or 15.3%, are flagged as sole proprietors in NPPES. The flag is self-reported and is an imperfect proxy for private practice.
Which states have the most In Home Supportive Care Agencies?
The largest reported state counts are in Florida (3,336), Ohio (3,318), and Texas (3,215), followed by North Carolina and Pennsylvania.
How many NPIs for this specialty were first enumerated in recent years?
The listed first-enumeration counts are 4,976 in 2024, 6,015 in 2025, and 121 in 2026.
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