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Skilled Nursing Facility: how many are there, and how many are in private practice?

The Skilled Nursing Facility taxonomy covers a facility, or distinct part of an institution, that provides inpatient skilled nursing, restorative, medical, and related social services to people who no longer need acute hospital care but need more than intermediate or custodial care. This page summarizes active NPI records using this taxonomy as their primary classification, including the national count, sole-proprietor flag, geographic distribution, and recent enumeration years.

National totals

Active NPI records31,624
Registered sole proprietors994 (3.1%)
NUCC taxonomy code314000000X
GroupingNursing & Custodial Care Facilities

What this specialty covers

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a l

Reading the sole-proprietor share

For this specialty, the sole-proprietor share shows the portion of records that carry a sole-proprietor designation in NPPES. The designation is a self-reported NPPES field and an imperfect proxy for private practice, because it does not fully describe ownership, management, operating structure, or facility affiliation.

By state

StateActive NPIsSole proprietorsShare
Texas3,049391.3%
California2,787792.8%
Ohio2,003693.4%
Florida1,817744.1%
Pennsylvania1,637684.2%
Illinois1,535382.5%
New York1,117393.5%
Missouri1,020212.1%
Massachusetts938283.0%
Wisconsin852576.7%
New Jersey842192.3%
Indiana779273.5%
Georgia770<11not reported
Michigan767273.5%
North Carolina751334.4%
Arkansas678<11not reported
Iowa623111.8%
Maryland589132.2%
Kentucky577396.8%
Minnesota561112.0%
Tennessee561244.3%
Virginia559295.2%
Kansas488112.3%
Colorado487142.9%
Washington483336.8%
Connecticut480224.6%
Oklahoma460<11not reported
Louisiana453<11not reported
South Carolina414112.7%
Alabama365164.4%
Arizona340154.4%
Mississippi309<11not reported
Nebraska296175.7%
Oregon248176.9%
West Virginia226<11not reported
Utah222<11not reported
New Mexico170<11not reported
Idaho166<11not reported
Rhode Island164<11not reported
New Hampshire135128.9%
South Dakota127<11not reported
Nevada120<11not reported
Maine106<11not reported
Montana96<11not reported
North Dakota88<11not reported
Delaware81<11not reported
Vermont76<11not reported
Wyoming66<11not reported
Hawaii49<11not reported
District of Columbia33<11not reported
Alaska27<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017984
2018938
2019883
2020659
2021828
20221,072
2023946
20241,018
2025886
2026 (partial year)51

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 skilled nursing facilities are there in the United States?

There are 31,624 active NPI records nationally with Skilled Nursing Facility as the primary taxonomy. This is a count of NPI records, not necessarily a count of unique physical facilities.

How many skilled nursing facilities are in private practice?

A total of 994 records, or 3.1%, are flagged as sole proprietors in NPPES. This flag is an imperfect proxy for private practice and should not be treated as a direct count of independently owned facilities.

Which states have the most skilled nursing facility NPI records?

The largest state counts are in Texas, California, Ohio, Florida, and Pennsylvania, in that order.

How many skilled nursing facility NPIs were first enumerated in recent years?

Among the most recent full years available, 1,018 NPIs were first enumerated in 2024, 886 in 2025, and 51 in 2026. Enumeration timing does not indicate when a facility opened or began providing services.

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