National totals
| Active NPI records | 88,446 |
| Registered sole proprietors | 9,843 (11.1%) |
| NUCC taxonomy code | 251E00000X |
| Grouping | Agencies |
What this specialty covers
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for healt
Reading the sole-proprietor share
For this specialty, the 11.1% figure means that 9,843 active records are flagged in NPPES as sole proprietors. Because the field is self-reported, it is an imperfect proxy for private practice and does not by itself show whether a home health agency is independently owned, clinician-owned, or part of a larger organization.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Texas | 10,339 | 723 | 7.0% |
| Ohio | 9,059 | 2,792 | 30.8% |
| Florida | 8,659 | 979 | 11.3% |
| California | 8,083 | 198 | 2.4% |
| Pennsylvania | 4,155 | 313 | 7.5% |
| Michigan | 4,090 | 552 | 13.5% |
| Virginia | 3,185 | 258 | 8.1% |
| North Carolina | 3,009 | 194 | 6.4% |
| Missouri | 2,893 | 271 | 9.4% |
| New York | 2,884 | 246 | 8.5% |
| Georgia | 2,812 | 341 | 12.1% |
| Minnesota | 2,752 | 162 | 5.9% |
| New Jersey | 2,145 | 114 | 5.3% |
| Maryland | 2,098 | 265 | 12.6% |
| Illinois | 2,075 | 82 | 4.0% |
| Massachusetts | 1,886 | 84 | 4.5% |
| Indiana | 1,554 | 148 | 9.5% |
| Arizona | 1,293 | 99 | 7.7% |
| Colorado | 1,255 | 62 | 4.9% |
| Louisiana | 1,140 | 64 | 5.6% |
| South Carolina | 1,110 | 185 | 16.7% |
| Nevada | 1,022 | 215 | 21.0% |
| Wisconsin | 880 | 83 | 9.4% |
| Tennessee | 863 | 115 | 13.3% |
| Alabama | 786 | 90 | 11.5% |
| Oklahoma | 650 | 23 | 3.5% |
| Nebraska | 629 | 247 | 39.3% |
| Connecticut | 625 | 38 | 6.1% |
| District of Columbia | 596 | 382 | 64.1% |
| Kansas | 584 | 18 | 3.1% |
| Mississippi | 486 | 83 | 17.1% |
| Iowa | 448 | 28 | 6.2% |
| Arkansas | 444 | 23 | 5.2% |
| Washington | 422 | 34 | 8.1% |
| New Mexico | 373 | 22 | 5.9% |
| West Virginia | 334 | 48 | 14.4% |
| Utah | 332 | 19 | 5.7% |
| Kentucky | 309 | 37 | 12.0% |
| Idaho | 253 | 19 | 7.5% |
| Maine | 245 | 26 | 10.6% |
| Oregon | 219 | 22 | 10.0% |
| New Hampshire | 192 | <11 | not reported |
| Delaware | 182 | 11 | 6.0% |
| North Dakota | 155 | 55 | 35.5% |
| Hawaii | 130 | <11 | not reported |
| Alaska | 122 | 11 | 9.0% |
| Rhode Island | 121 | <11 | not reported |
| South Dakota | 105 | <11 | not reported |
| Wyoming | 104 | <11 | not reported |
| Montana | 103 | 13 | 12.6% |
| Vermont | 46 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 3,295 |
| 2018 | 2,951 |
| 2019 | 3,809 |
| 2020 | 4,695 |
| 2021 | 5,248 |
| 2022 | 5,069 |
| 2023 | 4,902 |
| 2024 | 6,073 |
| 2025 | 6,972 |
| 2026 (partial year) | 155 |
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 can include organizations or locations, so they are not a complete census of Home Health Agencies.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many Home Health Agencies are in the United States?
There are 88,446 active NPI records with Home Health Agency as the primary taxonomy. This is an NPI-record count, not necessarily a count of distinct operating agencies.
How many Home Health Agencies are in private practice?
NPPES flags 9,843 records, or 11.1%, as sole proprietors. That field is a self-reported indicator and should not be read as a direct count of agencies in private practice.
Which states have the most Home Health Agencies?
The largest reported state counts are in Texas, Ohio, Florida, California, and Pennsylvania. State totals are based on NPI records and may not equal the number of distinct organizations.
How many Home Health Agency NPIs were first enumerated recently?
The reported first-enumeration counts are 6,073 in 2024, 6,972 in 2025, and 155 in 2026. These figures describe NPI enumeration activity, not necessarily the number of newly opened or currently operating agencies.
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