NPIMap

Organization Active NPI

Carter Healthcare of McAlester, LLC

  • Home Health Agency
  • Tahlequah, OK
National Provider Identifier
1043582018
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC7987 Issued in OK
Legal business name
CARTER HEALTHCARE OF MCALESTER, LLC
Practice address
200 Harris Cir Ste a
Tahlequah, OK 74464-8899
Phone
(405) 947-7700
Fax
(405) 947-7300
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin Carter
Title
Authorized Official/President
Phone
(405) 947-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC7987 OK Primary

Addresses

Primary practice location

200 Harris Cir Ste a
Tahlequah, OK 74464-8899

Mailing address

7725 W Reno Ave Ste 332
Oklahoma City, OK 73127-9799
Phone (405) 947-7700

Other names 1

  • Carter Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140121000583 OK Part A Provider - Home Health Agency 7416185475 Practice locations: Tahlequah, OK

Home health agency certification: CCN 377780

Legal name
CARTER HEALTHCARE OF MCALESTER LLC
Doing business as
CARTER HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 30, 2013
Last certification
Jan 26, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
200 Harris Cir
Ste a
Tahlequah, OK 74464-8899

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carter Heathcare of McAlester, LLCCCN 377780
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 30, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3105 S Meridian Ave
Oklahoma City, OK 73119
Phone (405) 795-1711

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert L Peters Individual Corporate DirectorDirector of Billing Sep 22, 2022 100%
Operational/Managerial ControlDirector of Billing Mar 1, 2017 33%
Oklahoma Homecare, Inc Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Oct 4, 2011 100%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestPresident Sep 27, 2022 90.29%
Corporate OfficerPresident Sep 27, 2022 100%
W-2 Managing EmployeePresident Sep 27, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1043582018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 W RENO AVE STE 332",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731279799",
            "telephone_number": "405-947-7700",
            "fax_number": "405-947-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRIS CIR STE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744648899",
            "telephone_number": "405-947-7700",
            "fax_number": "405-947-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER HEALTHCARE OF MCALESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PRESIDENT",
        "authorized_official_telephone_number": "405-947-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.