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How many home care agencies are there? 122,620, and 10,534 of them are new

There are 122,620 active home care agencies in the United States, and 10,534 of them registered in the 12 months from Jul 2025 to Jun 2026. That is about 203 new agencies a week.

We build these counts from the CMS NPPES registry because nobody else publishes them by state. Free to reuse with attribution.

Researched and written by Larry Osakwe · Last verified August 1, 2026

Checked against the published rules of the state licensing agency. Not a lawyer, not a compliance consultant, and not affiliated with any state agency.

How we research thisReport an error

Active agencies

122,620

as of Jun 2026

New in trailing 12 months

10,534

Jul 2025 to Jun 2026

Year over year

+1.5%

vs 10,377 the prior 12 months

Home health vs in-home care

83,301 / 39,319

by primary taxonomy

New agency registrations by month

The trailing 24 complete months, nationally. Monthly counts are noisy; the useful read is the flat-to-slightly-up trend rather than any single month.

View the monthly figures as a table
New home care agency registrations by month, trailing 24 months
MonthNew agencies
Jul 2024847
Aug 2024786
Sep 2024768
Oct 2024861
Nov 2024690
Dec 2024687
Jan 2025930
Feb 2025906
Mar 20251033
Apr 2025950
May 20251006
Jun 2025913
Jul 20251055
Aug 2025927
Sep 2025875
Oct 2025861
Nov 2025733
Dec 2025794
Jan 2026902
Feb 2026862
Mar 2026986
Apr 2026932
May 2026835
Jun 2026772

New home care agencies by state

Ranked by new registrations in the 12 months to Jun 2026, which shows where the market is moving rather than simply where it is biggest.

Home care agency registrations by US state
#StateNew (12 mo)Prior 12 moChangeActive total
1Florida973780+25%11,286
2Ohio9131,055-13%8,579
3Texas744785-5%14,188
4Michigan697609+14%5,635
5California629561+12%10,221
6Georgia542421+29%4,408
7Pennsylvania515527-2%6,365
8Indiana514656-22%2,981
9Virginia423443-5%4,594
10North Carolina376365+3%5,420
11Maryland288265+9%2,700
12Minnesota288352-18%3,295
13New Jersey279263+6%3,038
14Missouri277257+8%4,145
15Massachusetts238238+0%2,584
16Arizona230222+4%2,087
17South Carolina226194+16%1,948
18Illinois206207-0%3,131
19Tennessee192162+19%1,895
20Colorado184197-7%1,997
21Wisconsin181133+36%1,519
22Nevada134128+5%1,492
23Nebraska126275-54%784
24Connecticut119115+3%1,081
25Washington10776+41%803
26Alabama9992+8%1,197
27Mississippi9777+26%847
28Iowa9684+14%711
29Kentucky7748+60%632
30North Dakota7575+0%359
31Maine74112-34%775
32New York6995-27%3,099
33Arkansas5954+9%735
34Louisiana5753+8%2,045
35Idaho5342+26%466
36New Mexico5254-4%580
37Oklahoma4327+59%753
38Utah3842-10%509
39Oregon3139-21%420
40Delaware2926+12%315
41New Hampshire2632-19%300
42West Virginia2411+118%413
43Montana2123-9%195
44Kansas2032-38%721
45Rhode Island2014+43%168
46South Dakota1715+13%196
47Alaska139+44%187
48District of Columbia137+86%318
49Hawaii1312+8%276
50Wyoming1110+10%152
51Vermont66+0%75

Linked states have a policy-manual page with the specific written policies that state’s rules require. The rest are on the way.

Using these numbers

Free to reuse in reporting, research, or presentations under CC BY 4.0. Credit HomeCare Agency Policies and link back to this page. No need to ask first.

Suggested citation

HomeCare Agency Policies. “US Home Care Agency Statistics by State.” August 1, 2026. Derived from CMS NPPES Data Dissemination. https://www.homecareagencypolicies.com/home-care-agency-statistics

Writing something that needs a cut we do not publish, like a single state over a longer window or a different taxonomy set? The underlying file is public and the script is below, or ask and we will run it.

How these numbers are built

The source is the NPPES Data Dissemination file, the full public registry of every National Provider Identifier, published monthly by CMS. We count Type-2 (organization) NPIs whose primary taxonomy is 251E00000X (Home Health Agency) or 253Z00000X (In Home Supportive Care), grouped by practice-location state and enumeration month. Deactivated NPIs are excluded.

Primary taxonomy only, deliberately. An organization that lists home health as a secondary service alongside a hospital or nursing facility is a different business from one that leads with it, and counting every mention would inflate the totals with multi-service systems.

Three limits worth knowing before you quote this

  • An NPI is not a licence. It is a federal billing identifier. State licensure is separate, varies enormously by state, and is not what this measures. These counts track market entry well and licensure only loosely.
  • Older months are undercounted. Because deactivated NPIs are dropped, a historical month reads as “agencies registered then that are still active today.” Agencies that opened in 2019 and closed since are not in the 2019 figure. Recent months are close to complete; older ones drift low, so year-over-year comparisons across the trailing 24 months are sound while decade-long trends are not.
  • State is practice location, not incorporation. A multi-state operator appears in the state of the address on the NPI record, so a chain with one registered entity serving several states counts once.

The aggregation is a single script, scripts/nppes-aggregate.py, run against npidata_pfile_20050523-20260712.csv. Anyone can reproduce or extend it.

How many home care agencies are there in the United States?

There are 122,620 active home care agencies in the United States as of Jun 2026. That figure counts organizations holding an active NPI whose primary taxonomy is Home Health Agency (251E00000X) or In Home Supportive Care (253Z00000X) in the CMS NPPES registry. Of those, 83,301 are registered as home health agencies and 39,319 as in-home supportive care providers.

How many new home care agencies open each year?

10,534 new home care agencies registered in the 12 months from Jul 2025 to Jun 2026, against 10,377 in the preceding 12 months, a change of +1.5%. That works out to roughly 203 new agencies a week nationally. Registration is a reasonable proxy for market entry because an agency generally needs an NPI before it can bill, but it is not the same as being licensed by a state.

Which state has the most new home care agencies?

Florida led with 973 new agency registrations in the 12 months to Jun 2026, followed by Ohio (913) and Texas (744). Ranking by new registrations rather than by total agencies surfaces where the market is actually moving, which is not the same as where it is largest.

Can I use these numbers in my article?

Yes. The figures are published under CC BY 4.0, so you can reuse them in reporting, research, or presentations as long as you credit HomeCare Agency Policies and link back to this page. The underlying source is a free public CMS file, so you can also reproduce the analysis yourself; the aggregation script is linked in the methodology below.

Is an NPI the same as a home care licence?

No, and this is the main thing to understand before quoting these numbers. An NPI is a federal billing identifier issued by CMS. A licence is issued by a state agency under state law, and requirements vary enormously: some states licence home care agencies tightly, others barely at all. An agency can hold an NPI without a state licence, and in a few states the reverse happens too. These counts measure registration with the federal registry, which tracks market entry well and licensure only loosely.

Source

Last built August 1, 2026 from npidata_pfile_20050523-20260712.csv. Figures cover through Jun 2026, the last complete month in that release. Informational only, not legal or business advice.

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