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Adult Care Home Facility: how many are there, and how many are in private practice?

Adult Care Home Facility is a custodial care setting that provides supportive and personal care, with assistance and monitoring, for disabled or older people who cannot function independently in most areas. This page summarizes active US NPI records using the NUCC 311ZA0620X taxonomy, including the national count, state distribution, sole-proprietor share, and recent NPI enumeration patterns.

National totals

Active NPI records5,669
Registered sole proprietors1,058 (18.7%)
NUCC taxonomy code311ZA0620X
GroupingNursing & Custodial Care Facilities

What this specialty covers

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Reading the sole-proprietor share

For this specialty, 1,058 records, or 18.7%, carry the sole-proprietor flag in NPPES. That field is self-reported and can help describe how reporting organizations identify themselves, but it is an imperfect proxy for private practice: it does not by itself establish ownership, independence, staffing, or how care is delivered. Read the percentage as a NPPES classification, not as a direct estimate of independently owned or privately operated facilities.

By state

StateActive NPIsSole proprietorsShare
North Carolina1,177726.1%
Florida59822838.1%
Washington44313129.6%
Michigan43510323.7%
Texas40310024.8%
California2783311.9%
Nevada180158.3%
Arizona1642012.2%
Wisconsin1633420.9%
Georgia1572817.8%
Ohio1554529.0%
New York1261511.9%
Massachusetts120<11not reported
Minnesota1193226.9%
Kansas112<11not reported
Hawaii774355.8%
Indiana75<11not reported
Missouri70<11not reported
Louisiana68<11not reported
Virginia59<11not reported
Pennsylvania54<11not reported
New Jersey52<11not reported
Tennessee51<11not reported
Oregon462860.9%
Maryland41<11not reported
Nebraska342367.6%
Colorado31<11not reported
Vermont30<11not reported
South Carolina29<11not reported
Maine29<11not reported
Illinois26<11not reported
Mississippi26<11not reported
Iowa24<11not reported
Kentucky21<11not reported
Arkansas20<11not reported
Alabama17<11not reported
Alaska17<11not reported
Idaho161381.2%
South Dakota16<11not reported
District of Columbia14<11not reported
Montana14<11not reported
Connecticut12<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2016259
2017246
2018173
2019229
2020198
2021231
2022237
2023273
2024416
2025514

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 Adult Care Home Facilities are there in the US?

There are 5,669 active NPI records nationally with Adult Care Home Facility as the primary taxonomy.

How many Adult Care Home Facilities are in private practice?

NPPES flags 1,058 records, or 18.7%, as sole proprietors. This is a self-reported classification and an imperfect proxy for private practice, not a direct count of privately operated facilities.

Which states have the most Adult Care Home Facilities?

The largest state counts are North Carolina (1,177), Florida (598), Washington (443), Michigan (435), and Texas (403).

How many Adult Care Home Facilities were newly enumerated in recent years?

The counts of NPIs first enumerated were 273 in 2023, 416 in 2024, and 514 in 2025.

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