National totals
| Active NPI records | 31,624 |
| Registered sole proprietors | 994 (3.1%) |
| NUCC taxonomy code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
What this specialty covers
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a l
Reading the sole-proprietor share
For this specialty, the sole-proprietor share shows the portion of records that carry a sole-proprietor designation in NPPES. The designation is a self-reported NPPES field and an imperfect proxy for private practice, because it does not fully describe ownership, management, operating structure, or facility affiliation.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Texas | 3,049 | 39 | 1.3% |
| California | 2,787 | 79 | 2.8% |
| Ohio | 2,003 | 69 | 3.4% |
| Florida | 1,817 | 74 | 4.1% |
| Pennsylvania | 1,637 | 68 | 4.2% |
| Illinois | 1,535 | 38 | 2.5% |
| New York | 1,117 | 39 | 3.5% |
| Missouri | 1,020 | 21 | 2.1% |
| Massachusetts | 938 | 28 | 3.0% |
| Wisconsin | 852 | 57 | 6.7% |
| New Jersey | 842 | 19 | 2.3% |
| Indiana | 779 | 27 | 3.5% |
| Georgia | 770 | <11 | not reported |
| Michigan | 767 | 27 | 3.5% |
| North Carolina | 751 | 33 | 4.4% |
| Arkansas | 678 | <11 | not reported |
| Iowa | 623 | 11 | 1.8% |
| Maryland | 589 | 13 | 2.2% |
| Kentucky | 577 | 39 | 6.8% |
| Minnesota | 561 | 11 | 2.0% |
| Tennessee | 561 | 24 | 4.3% |
| Virginia | 559 | 29 | 5.2% |
| Kansas | 488 | 11 | 2.3% |
| Colorado | 487 | 14 | 2.9% |
| Washington | 483 | 33 | 6.8% |
| Connecticut | 480 | 22 | 4.6% |
| Oklahoma | 460 | <11 | not reported |
| Louisiana | 453 | <11 | not reported |
| South Carolina | 414 | 11 | 2.7% |
| Alabama | 365 | 16 | 4.4% |
| Arizona | 340 | 15 | 4.4% |
| Mississippi | 309 | <11 | not reported |
| Nebraska | 296 | 17 | 5.7% |
| Oregon | 248 | 17 | 6.9% |
| West Virginia | 226 | <11 | not reported |
| Utah | 222 | <11 | not reported |
| New Mexico | 170 | <11 | not reported |
| Idaho | 166 | <11 | not reported |
| Rhode Island | 164 | <11 | not reported |
| New Hampshire | 135 | 12 | 8.9% |
| South Dakota | 127 | <11 | not reported |
| Nevada | 120 | <11 | not reported |
| Maine | 106 | <11 | not reported |
| Montana | 96 | <11 | not reported |
| North Dakota | 88 | <11 | not reported |
| Delaware | 81 | <11 | not reported |
| Vermont | 76 | <11 | not reported |
| Wyoming | 66 | <11 | not reported |
| Hawaii | 49 | <11 | not reported |
| District of Columbia | 33 | <11 | not reported |
| Alaska | 27 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 984 |
| 2018 | 938 |
| 2019 | 883 |
| 2020 | 659 |
| 2021 | 828 |
| 2022 | 1,072 |
| 2023 | 946 |
| 2024 | 1,018 |
| 2025 | 886 |
| 2026 (partial year) | 51 |
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 administrative identifiers and may not map one-to-one to operating facilities, locations, or ownership structures.
- The primary taxonomy is selected by the NPI holder and may not capture every organization that provides skilled nursing services.
- Enumeration year reflects NPI registration timing, not facility opening, current operation, or service volume.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many skilled nursing facilities are there in the United States?
There are 31,624 active NPI records nationally with Skilled Nursing Facility as the primary taxonomy. This is a count of NPI records, not necessarily a count of unique physical facilities.
How many skilled nursing facilities are in private practice?
A total of 994 records, or 3.1%, are flagged as sole proprietors in NPPES. This flag is an imperfect proxy for private practice and should not be treated as a direct count of independently owned facilities.
Which states have the most skilled nursing facility NPI records?
The largest state counts are in Texas, California, Ohio, Florida, and Pennsylvania, in that order.
How many skilled nursing facility NPIs were first enumerated in recent years?
Among the most recent full years available, 1,018 NPIs were first enumerated in 2024, 886 in 2025, and 51 in 2026. Enumeration timing does not indicate when a facility opened or began providing services.
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