Organization Active NPI

Carter Healthcare of Western Oklahoma, LLC

  • Home Health Agency
  • Enid, OK
National Provider Identifier
1528463676
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARTER HEALTHCARE OF WESTERN OKLAHOMA, LLC
Practice address
2510 W Chestnut Ave Ste D
Enid, OK 73703-3906
Phone
(580) 237-3672
Fax
(580) 237-2896
NPI assigned
Oct 31, 2014
Last updated
Jul 2, 2025By the provider in NPPES
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 Primary

Addresses

Primary practice location

2510 W Chestnut Ave Ste D
Enid, OK 73703-3906

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105000895 OK Part A Provider - Home Health Agency 7618290388 Practice locations: Enid, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528463676. Details of each certification follow.

Home health agency certification: CCN 377189

Legal name
CARTER HEALTHCARE OF WESTERN OKLAHOMA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 1992
Last certification
Aug 14, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 22, 2014 in OK
Enrollment address
2510 W Chestnut Ave
Ste D
Enid, OK 73703-3906

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carter Healthcare of Western Oklahoma, LLCCCN 377189 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 24, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
37D2089489Carter Healthcare of Western Oklahoma, LLC2510 W Chestnut Ave, Ste D, Enid, OK 73703Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

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 Operational/Managerial ControlDirector of Billing Mar 1, 2017 33%
Oklahoma Homecare, LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Oct 22, 2014 100%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestPresident Sep 27, 2022 90.29%
Corporate OfficerPresident Sep 27, 2022 100%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1528463676",
    "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": "2510 W CHESTNUT AVE STE D",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737033906",
            "telephone_number": "580-237-3672",
            "fax_number": "580-237-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER HEALTHCARE OF WESTERN OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.