Organization Active NPI

FC of West Virginia Inc

Doing business as Carter Healthcare

  • Home Health Agency
  • Wheeling, WV
National Provider Identifier
1598747172
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

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

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

IdentifierTypeStateIssuer
0004521000MedicaidWV

Other names 2

  • Carter Healthcare Doing business as
  • Intrepid USA Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthcareCCN 517147 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 27, 2019
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
51D0886180Carter Healthcare2110 Lumber Avenue Suite 1, Wheeling, WV 26003Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Carter Healthcare of West Virginia LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Dec 31, 2017 100%
Stanley F Carter Family GST TR Organization, Oklahoma City, OK 5% Or Greater Indirect Ownership Interest Dec 31, 2017 64.8%
CHC Holdings LLC Organization, Oklahoma City, OK LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2017 100%
Cynthia Carter Individual 5% Or Greater Indirect Ownership InterestBoard Sep 27, 2022 9.71%
Justin Michael Carter 2005 Irrevocable Trust Organization, Oklahoma City, OK 5% Or Greater Indirect Ownership Interest Dec 31, 2017 35.2%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestPresident Sep 27, 2022 90.29%
Corporate OfficerPresident Sep 27, 2022 100%
Corporate DirectorPresident 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.

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

Verify at the official NPI Registry.