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In Home Supportive Care Agency: how many are there, and how many are in private practice?

In Home Supportive Care Agencies provide services in a patient's home with the goal of enabling the patient to remain at home. Services may include hands-on personal care, homemaker and instrumental activities of daily living, help with taking medications, shopping, laundry, housekeeping, companionship, and supervision or cueing. This page summarizes the US footprint for records using this NUCC taxonomy as their primary classification and reports the share flagged as sole proprietors.

National totals

Active NPI records39,322
Registered sole proprietors6,022 (15.3%)
NUCC taxonomy code253Z00000X
GroupingAgencies

What this specialty covers

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Reading the sole-proprietor share

For this specialty, the sole-proprietor share is the portion of active records whose NPPES record is flagged as a sole proprietorship: 6,022 records, or 15.3%. Because the flag is a self-reported NPPES field, it is an imperfect proxy for private practice and does not establish an agency's ownership, independence, or operating model.

By state

StateActive NPIsSole proprietorsShare
Florida3,33658117.4%
Ohio3,3181,87556.5%
Texas3,2152547.9%
North Carolina2,1941888.6%
Pennsylvania2,1401406.5%
California2,0401587.7%
Michigan1,67824814.8%
Georgia1,5451519.8%
Indiana1,37918113.1%
Missouri1,279846.6%
Virginia1,142968.4%
Illinois1,061424.0%
Tennessee1,02011010.8%
Louisiana983525.3%
South Carolina91511412.5%
New Jersey842688.1%
Nevada81222327.5%
Nebraska76747061.3%
Arizona742638.5%
Colorado731435.9%
Maryland703608.5%
Wisconsin6527711.8%
Massachusetts630568.9%
Minnesota609569.2%
Maine556356.3%
New York4626113.2%
Mississippi4004411.0%
Connecticut393225.6%
Alabama375359.3%
Washington336308.9%
North Dakota2908027.6%
Iowa2702810.4%
Kentucky2623111.8%
Oregon2304017.4%
Arkansas224219.4%
Idaho2214118.6%
New Mexico170<11not reported
Utah162<11not reported
West Virginia1583924.7%
Hawaii155<11not reported
Kansas145117.6%
District of Columbia1244133.1%
Oklahoma115<11not reported
New Hampshire99<11not reported
Delaware93<11not reported
Montana89<11not reported
South Dakota74<11not reported
Alaska68<11not reported
Wyoming41<11not reported
Rhode Island29<11not reported
Vermont15<11not reported

New NPI registrations by year

Year first enumeratedNPIs
20171,560
20181,587
20192,050
20202,889
20212,867
20222,961
20233,832
20244,976
20256,015
2026 (partial year)121

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 In Home Supportive Care Agencies are there in the US?

The page reports 39,322 active NPI records nationally with In Home Supportive Care Agency as the primary taxonomy. This is a count of NPI records, not a direct count of offices, staff, or service capacity.

What percentage of In Home Supportive Care Agencies are sole proprietors?

A total of 6,022 records, or 15.3%, are flagged as sole proprietors in NPPES. The flag is self-reported and is an imperfect proxy for private practice.

Which states have the most In Home Supportive Care Agencies?

The largest reported state counts are in Florida (3,336), Ohio (3,318), and Texas (3,215), followed by North Carolina and Pennsylvania.

How many NPIs for this specialty were first enumerated in recent years?

The listed first-enumeration counts are 4,976 in 2024, 6,015 in 2025, and 121 in 2026.

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