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Home Health Agency: how many are there, and how many are in private practice?

Home Health Agency is a NUCC Agencies classification for public or private organizations that provide skilled nursing and related therapeutic, social, and home health aide services under professional oversight. This page summarizes active US NPI records with Home Health Agency as the primary taxonomy, along with the NPPES sole-proprietor flag, state distribution, and first-enumeration patterns.

National totals

Active NPI records88,446
Registered sole proprietors9,843 (11.1%)
NUCC taxonomy code251E00000X
GroupingAgencies

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

StateActive NPIsSole proprietorsShare
Texas10,3397237.0%
Ohio9,0592,79230.8%
Florida8,65997911.3%
California8,0831982.4%
Pennsylvania4,1553137.5%
Michigan4,09055213.5%
Virginia3,1852588.1%
North Carolina3,0091946.4%
Missouri2,8932719.4%
New York2,8842468.5%
Georgia2,81234112.1%
Minnesota2,7521625.9%
New Jersey2,1451145.3%
Maryland2,09826512.6%
Illinois2,075824.0%
Massachusetts1,886844.5%
Indiana1,5541489.5%
Arizona1,293997.7%
Colorado1,255624.9%
Louisiana1,140645.6%
South Carolina1,11018516.7%
Nevada1,02221521.0%
Wisconsin880839.4%
Tennessee86311513.3%
Alabama7869011.5%
Oklahoma650233.5%
Nebraska62924739.3%
Connecticut625386.1%
District of Columbia59638264.1%
Kansas584183.1%
Mississippi4868317.1%
Iowa448286.2%
Arkansas444235.2%
Washington422348.1%
New Mexico373225.9%
West Virginia3344814.4%
Utah332195.7%
Kentucky3093712.0%
Idaho253197.5%
Maine2452610.6%
Oregon2192210.0%
New Hampshire192<11not reported
Delaware182116.0%
North Dakota1555535.5%
Hawaii130<11not reported
Alaska122119.0%
Rhode Island121<11not reported
South Dakota105<11not reported
Wyoming104<11not reported
Montana1031312.6%
Vermont46<11not reported

New NPI registrations by year

Year first enumeratedNPIs
20173,295
20182,951
20193,809
20204,695
20215,248
20225,069
20234,902
20246,073
20256,972
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

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 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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