Nursing Facility/Intermediate Care Facility: how many are there, and how many are in private practice?

National totals

What this specialty covers

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Reading the sole-proprietor share

For this specialty, the sole-proprietor share should be read as a registry classification among NPI records, not as a direct count of independently owned nursing facilities, intermediate care facilities, or clinicians in private practice. The flag is a self-reported NPPES field and may not capture ownership, affiliation, management, or facility structure completely, so it is an imperfect proxy for private practice.

By state

New NPI registrations by year

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 are not a complete census of licensed facilities, beds, service capacity, or utilization.
• A primary taxonomy is a registry classification and does not independently verify current operations or the services provided.
• The first-enumeration year indicates when an NPI was first issued, not necessarily when an organization opened or began providing services.
• Providers are counted once, by their primary taxonomy code only.

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