Active NPI
Carter Healthcare of San Angelo, LLC
Doing business as Carter Healthcare
- Home Health Registered Nurse
- Livingston, TX
National Provider Identifier
1386601417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 009919
- Legal business name
- CARTER HEALTHCARE OF SAN ANGELO, LLC
- Doing business as
- Carter Healthcare
- Practice address
- 317 W Church St Ste 106
Livingston, TX 77351-3242 - Phone
- (281) 241-8264
- Fax
- (281) 376-4357
- NPI assigned
- May 1, 2006
- Last updated
- Aug 28, 2024
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 009919 | TX | Primary |
| Home Health Agency | 251E00000X | 009919 | TX |
Addresses
Primary practice location
317 W Church St Ste 106
Livingston, TX 77351-3242
Mailing address
3105 S Meridian Ave
Oklahoma City, OK 73119-1022
Phone (405) 947-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179435601 | Medicaid | TX |
Other names 1
- Carter Healthcare
National Provider Directory
National Provider DirectoryLocations
2725 Sherwood Way
Ste 700
San Angelo, TX 76901
Phone (325) 944-8181
3123 Executive Dr
San Angelo, TX 76904
Phone (325) 944-0300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- San Angelo, TX
- NPI 1417718016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1386601417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 S MERIDIAN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731191022",
"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": "317 W CHURCH ST STE 106",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773513242",
"telephone_number": "281-241-8264",
"fax_number": "281-376-4357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTER HEALTHCARE OF SAN ANGELO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"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": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "009919",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009919",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179435601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carter Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carter Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, TX
- Camino Real Emergency Physicians PLLC
- Lauren Capello
- Dan Brent Carr, CRNA
- Carroll Partners Investment No. 2 Inc (The Gardens at Livingston)
- April R Carroll, RPH
- Anna Lee Chancellor, LPC
- Michael Ray Chancellor, LPC-S
- Kimberly Cheree Chapman, COTA
- Charlene Smith MD PA (Livingston Eye Center)
- Amy Cristen Cherry, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.