Active NPI
FC of West Virginia Inc
Doing business as Carter Healthcare
- Home Health Agency
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FC OF WEST VIRGINIA INC
- Doing business as
- Carter Healthcare
Intrepid USA Healthcare Services - Practice address
- 2110 Lumber Ave Ste 1
Wheeling, WV 26003-5390 - Phone
- (304) 242-2498
- NPI assigned
- Nov 18, 2005
- 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 | Primary |
Addresses
Primary practice location
2110 Lumber Ave Ste 1
Wheeling, WV 26003-5390
Mailing address
7725 W Reno Ave Ste 332
Oklahoma City, OK 73127-9799
Phone (405) 947-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004521000 | Medicaid | WV |
Other names 2
- Carter Healthcare
- Intrepid USA Healthcare Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180626000212 | WV | Part A Provider - Home Health Agency | 3870582604 | Practice locations: Wheeling, WV |
Home health agency certification: CCN 517147
- Legal name
- FC OF WEST VIRGINIA INC
- Doing business as
- CARTER HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 27, 2019
- Last certification
- Feb 27, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 30, 2003 in MN
- Enrollment address
- 2110 Lumber Ave
Ste 1
Wheeling, WV 26003-5390
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Carter Healthcare
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 27, 2019
- Medicare certification status
- Active
- Services
- Nursing, Physical 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 |
|---|---|---|---|
| 51D0886180 | Carter Healthcare | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
3203 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 491-8200
3205 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 723-0280
2110 Lumber Ave
#1
Wheeling, WV 26003
Phone (304) 242-2498
2129 National Rd
Ste 1
Wheeling, WV 26003
Phone (304) 242-2498
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Carter Healthcare of West Virginia LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2017 | 100% |
| Stanley F Carter Family GST TR | 5% Or Greater Indirect Ownership Interest | Dec 31, 2017 | 64.8% |
| CHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2017 | 100% |
| Cynthia Carter | 5% Or Greater Indirect Ownership Interest | Sep 27, 2022 | 9.71% |
| Justin Michael Carter 2005 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Dec 31, 2017 | 35.2% |
| Justin Carter | 5% Or Greater Indirect Ownership Interest | Sep 27, 2022 | 90.29% |
| Corporate Officer | Sep 27, 2022 | 100% | |
| Corporate Director | Sep 27, 2022 | 100% | |
| W-2 Managing Employee | Sep 27, 2022 | 100% |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Overland Park, KS
- NPI 1891712691
CHC Holdings LLC, Justin Michael Carter 2005 Irrevocable Trust, Stanley F Carter Family GST TR
-
dba Carter Healthcare
- Home Health Agency
- Spring, TX
- NPI 1457415572
CHC Holdings LLC
-
dba Carter Healthcare
- Home Health Agency
- Austin, TX
- NPI 1811133564
CHC Holdings LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1598747172",
"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": "2110 LUMBER AVE STE 1",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035390",
"telephone_number": "304-242-2498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC OF WEST VIRGINIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004521000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carter Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheeling, WV
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.