NPIMap

Organization Active NPI

Carter Healthcare of Central Oklahoma, LLC

Doing business as Carter Healthcare

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1578667705
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7367 Issued in OK
Legal business name
CARTER HEALTHCARE OF CENTRAL OKLAHOMA, LLC
Doing business as
Carter Healthcare
Practice address
7725 W Reno Ave Ste 303
Oklahoma City, OK 73127-9795
Phone
(405) 947-7700
Fax
(405) 947-7300
NPI assigned
Sep 8, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 7367 OK Primary

Addresses

Primary practice location

7725 W Reno Ave Ste 303
Oklahoma City, OK 73127-9795

Mailing address

7725 W Reno Ave Ste 332
Oklahoma City, OK 73127-9799
Phone (405) 688-2120

Other identifiers 1

IdentifierTypeStateIssuer
100261610DMedicaidOK

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
O20161028000259 OK Part A Provider - Home Health Agency 9537447461 Practice locations: Clinton, OK; Oklahoma City, OK; Woodward, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578667705. Details of each certification follow.

Home health agency certification: CCN 377478

Legal name
CARTER HEALTHCARE OF CENTRAL OKLAHOMA, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 3, 1995
Last certification
Jan 4, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 21, 2015 in OK
Enrollment address
3105 S Meridian Ave
Oklahoma City, OK 73119-1022
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carter Healthcare of Central Oklahoma, LLCCCN 377478 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 3, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2013 Jaycee Ln
Ste G
Clinton, OK 73601

2700 Washington Dr
Ste 100
Norman, OK 73069

3104 S Meridian Ave
Oklahoma City, OK 73119

4721 W 6th Ave
Ste 110
Stillwater, OK 74074

1813 Oklahoma Ave
Woodward, OK 73801
Phone (580) 290-1319

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
Carter Healthcare of Southwest Oklahoma, LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Nov 1, 2016 100%
Robert L Peters Individual Operational/Managerial ControlDirector of Billing Mar 1, 2017 33%
Cynthia Carter Individual 5% Or Greater Indirect Ownership InterestManagerial Sep 27, 2022 9.71%
W-2 Managing EmployeeBoard Member Sep 27, 2023 9.71%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestManagerial Feb 7, 2023 90.29%
Corporate OfficerPresident Sep 27, 2022 90.29%
Corporate DirectorPresident Sep 27, 2022 100%
W-2 Managing EmployeePresident Sep 27, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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

Change-of-ownership history 2

DateEventCounterparty
Nov 1, 2016 Change of OwnershipThis provider was the buyer Carter HealthcareCCN 377478, OK, NPI 1578667705
Nov 1, 2016 Change of OwnershipThis provider was the seller Carter Healthcare of Central Oklahoma, LLCCCN 377478, OK, NPI 1578667705

Practitioners & affiliated clinicians

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1578667705",
    "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": "405-688-2120",
            "fax_number": "405-947-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W RENO AVE STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731279795",
            "telephone_number": "405-947-7700",
            "fax_number": "405-947-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER HEALTHCARE OF CENTRAL OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "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": "7367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261610D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.