Organization Active NPI

Carter Healthcare of del Rio, LLC

Doing business as Carter Healthcare

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1467410415
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008555 Issued in TX
Legal business name
CARTER HEALTHCARE OF DEL RIO, LLC
Doing business as
Carter Healthcare
Practice address
3201 Cherry Ridge Dr Ste 211C
San Antonio, TX 78230-4835
Phone
(210) 688-4876
Fax
(210) 688-4989
NPI assigned
May 1, 2006
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 008555 TX Primary

Addresses

Primary practice location

3201 Cherry Ridge Dr Ste 211C
San Antonio, TX 78230-4835

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
160670901MedicaidTX

Other names 1

  • Carter Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030909000002 TX Part A Provider - Home Health Agency 9638080948 Practice locations: San Antonio, TX

Home health agency certification: CCN 679357

Legal name
CARTER HEALTHCARE OF DEL RIO, LLC
Doing business as
CARTER HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 2, 2003
Last certification
Aug 10, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 2, 2003 in TX
Enrollment address
3201 Cherry Ridge Dr
Ste 211C
San Antonio, TX 78230-4835

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carter HealthcareCCN 679357 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 2, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1014611Carter Healthcare of del Rio3201 Cherry Ridge Drive, Suite 211-C, San Antonio, TX 78230Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

304 Margaret Ln
Del Rio, TX 78840
Phone (830) 778-5566

2409 Veterans Blvd
Ste 10
Del Rio, TX 78840
Phone (830) 778-5566

2409 Veterans Blvd
Del Rio, TX 78840
Phone (830) 778-5566

3201 Cherry Ridge Dr
Ste 211C
San Antonio, TX 78230
Phone (210) 688-4876

Ownership & related parties

All disclosed owners & managing parties 4

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 Operational/Managerial ControlDirector of Billing Mar 1, 2017 33%
Carter Healthcare of West Texas LLC Organization, Oklahoma City, OK Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2013 100%
Cynthia Carter Individual 5% Or Greater Indirect Ownership InterestManagerial Sep 27, 2022 9.71%
W-2 Managing EmployeeBoard Member Sep 27, 2022 9.71%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestManagerial Feb 7, 2023 90.29%
Corporate OfficerPresident Sep 27, 2022 90.29%
Operational/Managerial ControlPresident Sep 27, 2022 33.3%

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": "1751414400000",
    "number": "1467410415",
    "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": "3201 CHERRY RIDGE DR STE 211C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304835",
            "telephone_number": "210-688-4876",
            "fax_number": "210-688-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER HEALTHCARE OF DEL RIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "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": "TX",
            "license": "008555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160670901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.