National totals
| Active NPI records | 7,662 |
| Registered sole proprietors | 983 (12.8%) |
| NUCC taxonomy code | 251J00000X |
| Grouping | Agencies |
What this specialty covers
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Reading the sole-proprietor share
For this specialty, 983 of the 7,662 active records, or 12.8%, carry the NPPES sole-proprietor flag. Because that field is self-reported, and because a nursing care agency may use employees, contracted nurses, or a registry, the percentage is an imperfect proxy for private practice and does not describe the agency's full business structure.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| Florida | 734 | 69 | 9.4% |
| Georgia | 715 | 66 | 9.2% |
| Texas | 692 | 41 | 5.9% |
| New York | 532 | 146 | 27.4% |
| Maryland | 456 | 32 | 7.0% |
| Ohio | 425 | 148 | 34.8% |
| North Carolina | 393 | 22 | 5.6% |
| Illinois | 320 | 25 | 7.8% |
| California | 308 | 39 | 12.7% |
| Michigan | 227 | 34 | 15.0% |
| Pennsylvania | 217 | 41 | 18.9% |
| Virginia | 214 | 24 | 11.2% |
| Minnesota | 195 | <11 | not reported |
| Missouri | 181 | 12 | 6.6% |
| New Jersey | 180 | 24 | 13.3% |
| Massachusetts | 155 | 25 | 16.1% |
| South Carolina | 137 | 22 | 16.1% |
| Louisiana | 135 | <11 | not reported |
| Washington | 110 | 25 | 22.7% |
| Tennessee | 101 | 11 | 10.9% |
| Arizona | 100 | 19 | 19.0% |
| Mississippi | 100 | <11 | not reported |
| Alabama | 69 | 12 | 17.4% |
| Indiana | 63 | <11 | not reported |
| Kentucky | 61 | <11 | not reported |
| Idaho | 61 | <11 | not reported |
| Wisconsin | 60 | <11 | not reported |
| Hawaii | 57 | <11 | not reported |
| Colorado | 57 | <11 | not reported |
| Nebraska | 51 | 14 | 27.5% |
| Connecticut | 50 | <11 | not reported |
| Oklahoma | 42 | <11 | not reported |
| Oregon | 40 | <11 | not reported |
| District of Columbia | 40 | <11 | not reported |
| Arkansas | 38 | <11 | not reported |
| Iowa | 34 | <11 | not reported |
| Rhode Island | 33 | <11 | not reported |
| Nevada | 31 | <11 | not reported |
| Kansas | 30 | <11 | not reported |
| West Virginia | 28 | <11 | not reported |
| New Mexico | 27 | <11 | not reported |
| Utah | 23 | <11 | not reported |
| Maine | 22 | <11 | not reported |
| Delaware | 18 | <11 | not reported |
| North Dakota | 18 | <11 | not reported |
| South Dakota | 17 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 256 |
| 2018 | 259 |
| 2019 | 306 |
| 2020 | 433 |
| 2021 | 463 |
| 2022 | 478 |
| 2023 | 486 |
| 2024 | 622 |
| 2025 | 648 |
| 2026 (partial year) | 13 |
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.
- - NPPES counts are records with the taxonomy as primary, not guaranteed counts of unique agencies or locations.
- - First-enumeration totals do not indicate when an agency began operations, whether it remains active, or why counts changed.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many Nursing Care Agencies are in the United States?
The dataset contains 7,662 active NPI records nationally with Nursing Care Agency as the primary taxonomy. This is a record count, so it should not automatically be read as a count of distinct agencies, locations, or operating businesses.
How many Nursing Care Agencies are in private practice?
NPPES flags 983 active records, or 12.8%, as sole proprietors. Because the flag is self-reported, it is an imperfect proxy for private practice.
Which states have the most Nursing Care Agency NPIs?
The largest reported state counts are in Florida, Georgia, Texas, New York, and Maryland.
How many Nursing Care Agency NPIs were first enumerated recently?
First-enumeration counts were 622 in 2024, 648 in 2025, and 13 in 2026. First enumeration is not the same as an agency opening and does not by itself show growth or current activity.
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