If you own or operate an assisted living facility and need your NAICS code, here is your answer right away.
The primary NAICS code for an assisted living facility is 623312, classified under Assisted Living Facilities for the Elderly in the Health Care and Social Assistance sector. However, senior care is a highly regulated industry with very fine lines between different levels of care. The right code for your facility depends on whether you provide personal care assistance or 24/7 skilled nursing. This page covers the relevant codes so you can identify the one that fits.
| Field | Details |
|---|---|
| NAICS Code | 623312 |
| Industry Title | Assisted Living Facilities for the Elderly |
| Sector | 62 (Health Care and Social Assistance) |
| Industry Group | 6233 |
| Last Updated | 2022 NAICS Edition (Next NAICS Edition will come in 2027) |
What Does NAICS Code 623312 Cover?
According to the official 2022 NAICS data, code 623312 covers establishments primarily engaged in providing residential and personal care services for the elderly.
In simple terms, this code applies to facilities that combine housing, meals, and supportive health services for seniors who need help with daily activities but do not require around-the-clock medical care. For assisted living facilities, this includes:
- Providing room, board, and 24-hour supervision
- Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, eating, and toileting
- Medication management and reminders
- Organized social, recreational, and wellness activities
- Basic health monitoring and coordination with outside physicians
The important distinction here is personal care without skilled nursing. This code covers facilities that help seniors live as independently as possible in a residential setting, but it does not cover facilities that provide continuous, high-level medical treatment.
Does My Assisted Living Business Qualify for Code 623312?
Your business qualifies for NAICS code 623312 if:
- You operate a residential care facility specifically for the elderly
- Your main source of revenue comes from combining housing with personal care services (ADL assistance)
- Your residents are primarily independent but require some daily physical assistance or supervision
Your business may not qualify if:
- You provide 24/7 skilled nursing care, registered nurses on every shift, and heavy medical treatments, which falls under 623110 (Nursing Care Facilities / Skilled Nursing Facilities) instead
- You provide independent living apartments with no personal care assistance, which falls under 623311 (Continuing Care Retirement Communities) or 623990 (Other Residential Care Facilities) instead
- You provide medical care in the patient’s own home rather than in a residential facility, which falls under 621610 (Home Health Care Services) instead
When your business sits between two codes, always classify based on the highest level of care your facility is licensed to provide.
Where Will You Need This Code?
Your NAICS code appears in more places than most healthcare operators expect. Here is where code 623312 will be required:
- State Licensing and Compliance. This is highly critical. State health departments heavily regulate assisted living facilities. When you apply for your state license, you must provide your NAICS code to prove you are applying under the correct regulatory category.
- Medicare and Medicaid Certification. While traditional Medicare does not pay for room and board in assisted living, many states have Medicaid waiver programs that help cover assisted living costs. Your facility must be registered under the correct code to participate in these state and federal programs.
- Healthcare Insurance. Insurance providers use this code to calculate your premiums for Professional Liability, General Liability, and Abuse and Molestation coverage. Assisted living facilities carry unique risks compared to skilled nursing facilities.
- SBA Loan Applications. If you need financing to purchase a facility, renovate a property, or cover working capital, the Small Business Administration requires your NAICS code to assess your loan eligibility.
- Business Bank Accounts. Many banks ask for your NAICS code when opening a business checking account to ensure your business is classified properly from day one.
623312 in the NAICS Hierarchy
Every NAICS code sits inside a structured hierarchy. Here is exactly where 623312 fits:
| Level | Code | Title |
|---|---|---|
| Sector | 62 | Health Care and Social Assistance |
| Subsector | 623 | Nursing and Residential Care Facilities |
| Industry Group | 6233 | Residential Care Facilities |
| NAICS Industry | 62331 | Residential Care Facilities for the Elderly |
| National Industry | 623312 | Assisted Living Facilities for the Elderly |
Frequently Asked Questions
What is the NAICS code for a nursing home (skilled nursing facility)?
If your facility provides 24-hour skilled nursing care, has registered nurses on duty at all times, and provides heavy medical treatments like IV therapy or wound care, your code is 623110 (Nursing Care Facilities). You only use 623312 if you provide personal care and assistance with daily living activities without continuous skilled nursing.
Does NAICS code 623312 cover memory care or dementia care units?
Yes. In the 2022 NAICS system, memory care and Alzheimer’s/dementia care units that provide residential housing and personal care assistance are generally classified under 623312. Even though these residents require a higher level of supervision and specialized security, they are not typically receiving “skilled nursing” medical treatments, so they remain under the assisted living umbrella.
What if my facility offers independent living, assisted living, and skilled nursing all on one campus?
If you operate a Continuing Care Retirement Community (CCRC) that offers a continuum of care, your primary code is 623311 (Continuing Care Retirement Communities). This code is specifically designed for campuses that offer independent living units alongside on-site assisted living and nursing care facilities.
Can an assisted living facility bill Medicare under this NAICS code?
Generally, no. Medicare Part A does not cover long-term custodial care (room, board, and ADL assistance), which is the primary service provided under code 623312. Medicare Part A only covers skilled nursing stays (623110). However, residents in your facility can still use Medicare Part B to pay for outside healthcare providers (like visiting doctors or physical therapists) who come to your facility to treat them.