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Texas HHSC Licensing Data

Texas Assisted Living Directory: Every HHSC License in the January 2026 Export, by County

As of the January 2026 HHSC export, Texas had 2,002 active assisted living licenses across 151 counties, with a combined licensed capacity of 82,752 residents. 1,643 were Type B (staff-assisted evacuation), 359 Type A, and 735certified for Alzheimer's and memory care.

Source: Texas Health and Human Services Commission (HHSC) Long-term Care Provider directory, January 2026 export. This directory is a dated snapshot, not a live licensing database; HHSC issues and closes licenses year-round. Always verify current status via the official HHSC provider search. Compiled by Erika Crossley from the Texas HHSC provider directory.

2,002

Active licenses (January 2026)

82,752

Licensed capacity

735

Memory care certified

151

Counties covered

Top 20 Texas Counties by Assisted Living Licenses

The 20 largest county markets hold 1,550of Texas's 2,002 licenses in the January 2026 export.

CountyFacilitiesLicensed capacityType AType BMemory care
Harris County28011,55874206110
Dallas County2007,4743916170
Bexar County1455,0913311241
Tarrant County1427,4232012264
Collin County1294,664712258
Denton County1043,40269843
Fort Bend County892,907107932
Montgomery County852,19187731
Travis County754,93796633
Williamson County573,01494835
Lubbock County491,2722477
El Paso County3297911218
Galveston County321,40923011
Brazoria County291,19542511
Smith County201,1916148
Hays County191,09241510
Hidalgo County173941164
Comal County1687211511
Jefferson County155641145
McLennan County151,05031210

All 151 Counties

Anderson (3)Andrews (1)Angelina (3)Aransas (1)Armstrong (1)Atascosa (1)Austin (3)Bastrop (3)Baylor (1)Bee (1)Bell (10)Bexar (145)Bosque (1)Bowie (10)Brazoria (29)Brazos (14)Brown (3)Burleson (1)Burnet (5)Caldwell (5)Calhoun (1)Cameron (7)Camp (1)Cass (1)Cherokee (4)Childress (1)Collin (129)Colorado (2)Comal (16)Comanche (1)Cooke (2)Coryell (3)Dallam (1)Dallas (200)Dawson (1)Denton (104)Dewitt (2)Donley (1)Eastland (1)Ector (3)El Paso (32)Ellis (11)Erath (3)Fannin (2)Fayette (2)Fisher (1)Floyd (1)Fort Bend (89)Franklin (1)Frio (1)Gaines (2)Galveston (32)Gillespie (7)Gonzales (2)Gray (1)Grayson (14)Gregg (11)Grimes (1)Guadalupe (10)Hale (2)Hamilton (2)Hardin (2)Harris (280)Harrison (2)Hays (19)Hemphill (1)Henderson (6)Hidalgo (17)Hill (2)Hockley (2)Hood (8)Hopkins (3)Houston (1)Howard (1)Hunt (6)Hutchinson (1)Jack (1)Jackson (2)Jasper (1)Jefferson (15)Jim Wells (2)Johnson (13)Kaufman (4)Kendall (7)Kerr (7)Lamar (5)Lamb (2)Lampasas (2)Lavaca (2)Lee (1)Liberty (3)Limestone (1)Llano (4)Lubbock (49)Lynn (1)Madison (2)Marion (1)Matagorda (2)McCulloch (1)McLennan (15)Medina (8)Midland (4)Montague (5)Montgomery (85)Morris (1)Nacogdoches (3)Navarro (2)Nolan (1)Nueces (11)Ochiltree (1)Orange (2)Palo Pinto (2)Panola (3)Parker (11)Polk (5)Potter (12)Randall (6)Rockwall (8)Rusk (2)San Augustine (1)San Jacinto (1)San Patricio (1)Scurry (3)Shelby (1)Smith (20)Swisher (1)Tarrant (142)Taylor (10)Terry (1)Titus (7)Tom Green (8)Travis (75)Tyler (1)Upshur (2)Uvalde (2)Val Verde (2)Van Zandt (5)Victoria (6)Walker (4)Waller (10)Washington (4)Wharton (2)Wheeler (1)Wichita (6)Wilbarger (1)Willacy (1)Williamson (57)Wilson (2)Wise (2)Wood (6)Young (2)

Frequently Asked Questions

How many assisted living facilities are in Texas?

As of the January 2026 Texas HHSC Long-term Care Provider export, Texas had 2,002 active assisted living licenses across 151 counties, with a combined licensed capacity of 82,752 residents. HHSC issues and closes licenses year-round, so verify current status through the official HHSC provider search.

What is the difference between a Type A and Type B assisted living facility in Texas?

In Texas HHSC licensing, a Type A facility serves residents who are physically and mentally capable of evacuating the facility unassisted in an emergency and who do not need routine staff attendance during nighttime sleeping hours. A Type B facility serves residents who need staff assistance to evacuate, including overnight attendance. As of the January 2026 export, Texas had 359 Type A and 1,643 Type B licenses.

How many memory care facilities are in Texas?

735 of the 2,002 licenses in the January 2026 HHSC export are certified for Alzheimer's and memory care, with a combined certified memory care capacity of 21,465 residents (same export).

Which Texas counties have the most assisted living facilities?

In the January 2026 HHSC export, the five Texas counties with the most assisted living licenses are Harris (280), Dallas (200), Bexar (145), Tarrant (142), Collin (129). Together the top five hold 896 of the state's 2,002 licenses.

How do I verify an assisted living facility license in Texas?

Every licensed facility has an HHSC license number, listed on each county page in this directory. You can verify current license status, inspection results, and enforcement actions through the official HHSC Long-term Care Provider Search at apps.hhs.texas.gov/LTCSearch.

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