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

A Foster Care Agency is an agency that provides 24-hour substitute care for children outside their own homes, including care in foster family homes, group homes, shelters, residential facilities, and pre-adoptive homes. This page summarizes providers using NUCC taxonomy 253J00000X as their primary classification, with national, state, recent enumeration, and sole-proprietor information from NPPES.

National totals

Active NPI records2,111
Registered sole proprietors730 (34.6%)
NUCC taxonomy code253J00000X
GroupingAgencies

What this specialty covers

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Reading the sole-proprietor share

For this specialty, the sole-proprietor share is the portion of active Foster Care Agency NPI records whose NPPES sole-proprietor field is marked accordingly: 730 records, or 34.6%. This self-reported field is an imperfect proxy for private practice because it does not by itself establish ownership, independence, staffing, or how an agency delivers care.

By state

StateActive NPIsSole proprietorsShare
Utah26218871.8%
Michigan1925126.6%
Nevada19114978.0%
Massachusetts190<11not reported
California1472819.0%
Minnesota1457451.0%
Texas1374129.9%
Florida1295441.9%
Illinois76<11not reported
North Carolina69<11not reported
Ohio551730.9%
Arizona512752.9%
New York47<11not reported
Hawaii453782.2%
Pennsylvania36<11not reported
Virginia32<11not reported
Oregon291448.3%
Colorado22<11not reported
Georgia22<11not reported
Oklahoma211152.4%
Louisiana20<11not reported
Kentucky18<11not reported
Tennessee17<11not reported
South Carolina15<11not reported
Wisconsin13<11not reported
Maryland11<11not reported
Kansas11<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2016122
201797
2018104
201995
202080
2021125
2022105
202384
2024125
2025121

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 Foster Care Agencies are there in the United States?

There are 2,111 active NPI records nationally with Foster Care Agency as the primary taxonomy. This is a count of NPI records, not necessarily a count of distinct agencies.

How many Foster Care Agencies are in private practice?

NPPES flags 730 records, or 34.6%, as sole proprietors. Because the flag is self-reported, it is an imperfect proxy for private practice and should not be treated as a direct ownership count.

Which states have the most Foster Care Agency providers?

The largest state counts are in Utah with 262, Michigan with 192, Nevada with 191, Massachusetts with 190, and California with 147.

How many Foster Care Agency NPIs were first enumerated recently?

Among the most recent full years available, 84 NPIs were first enumerated in 2023, 125 in 2024, and 121 in 2025.

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