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Nursing Care Agency: how many are there, and how many are in private practice?

Nursing Care Agency (NUCC taxonomy 251J00000X) is an entity that provides skilled nursing care through RNs or LPNs, using employees, contracted individuals, or a registry, in varied settings. It may provide private-duty nursing or staffing services. This page summarizes the national active NPI footprint for records using this taxonomy as primary, along with geographic patterns, sole-proprietor reporting, and first-enumeration counts.

National totals

Active NPI records7,662
Registered sole proprietors983 (12.8%)
NUCC taxonomy code251J00000X
GroupingAgencies

What this specialty covers

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Reading the sole-proprietor share

For this specialty, 983 of the 7,662 active records, or 12.8%, carry the NPPES sole-proprietor flag. Because that field is self-reported, and because a nursing care agency may use employees, contracted nurses, or a registry, the percentage is an imperfect proxy for private practice and does not describe the agency's full business structure.

By state

StateActive NPIsSole proprietorsShare
Florida734699.4%
Georgia715669.2%
Texas692415.9%
New York53214627.4%
Maryland456327.0%
Ohio42514834.8%
North Carolina393225.6%
Illinois320257.8%
California3083912.7%
Michigan2273415.0%
Pennsylvania2174118.9%
Virginia2142411.2%
Minnesota195<11not reported
Missouri181126.6%
New Jersey1802413.3%
Massachusetts1552516.1%
South Carolina1372216.1%
Louisiana135<11not reported
Washington1102522.7%
Tennessee1011110.9%
Arizona1001919.0%
Mississippi100<11not reported
Alabama691217.4%
Indiana63<11not reported
Kentucky61<11not reported
Idaho61<11not reported
Wisconsin60<11not reported
Hawaii57<11not reported
Colorado57<11not reported
Nebraska511427.5%
Connecticut50<11not reported
Oklahoma42<11not reported
Oregon40<11not reported
District of Columbia40<11not reported
Arkansas38<11not reported
Iowa34<11not reported
Rhode Island33<11not reported
Nevada31<11not reported
Kansas30<11not reported
West Virginia28<11not reported
New Mexico27<11not reported
Utah23<11not reported
Maine22<11not reported
Delaware18<11not reported
North Dakota18<11not reported
South Dakota17<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017256
2018259
2019306
2020433
2021463
2022478
2023486
2024622
2025648
2026 (partial year)13

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 Nursing Care Agencies are in the United States?

The dataset contains 7,662 active NPI records nationally with Nursing Care Agency as the primary taxonomy. This is a record count, so it should not automatically be read as a count of distinct agencies, locations, or operating businesses.

How many Nursing Care Agencies are in private practice?

NPPES flags 983 active records, or 12.8%, as sole proprietors. Because the flag is self-reported, it is an imperfect proxy for private practice.

Which states have the most Nursing Care Agency NPIs?

The largest reported state counts are in Florida, Georgia, Texas, New York, and Maryland.

How many Nursing Care Agency NPIs were first enumerated recently?

First-enumeration counts were 622 in 2024, 648 in 2025, and 13 in 2026. First enumeration is not the same as an agency opening and does not by itself show growth or current activity.

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