Active NPI
Carter Healthcare of del Rio, LLC
Doing business as Carter Healthcare
- Home Health Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008555
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160670901 | Medicaid | TX |
Other names 1
- Carter Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Healthcare
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 2, 2003
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1014611 | Carter Healthcare of del Rio | Certificate of waiver | Jul 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert L Peters | Operational/Managerial Control | Mar 1, 2017 | 33% |
| Carter Healthcare of West Texas LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2013 | 100% |
| Cynthia Carter | 5% Or Greater Indirect Ownership Interest | Sep 27, 2022 | 9.71% |
| W-2 Managing Employee | Sep 27, 2022 | 9.71% | |
| Justin Carter | 5% Or Greater Indirect Ownership Interest | Feb 7, 2023 | 90.29% |
| Corporate Officer | Sep 27, 2022 | 90.29% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.