NPIMap

Organization Active NPI

Carter Healthcare of Southwest Oklahoma, LLC

Doing business as Carter Healthcare

  • Home Health Agency
  • Lawton, OK
National Provider Identifier
1750490835
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7687 Issued in OK
Legal business name
CARTER HEALTHCARE OF SOUTHWEST OKLAHOMA, LLC
Doing business as
Carter Healthcare
Practice address
5366 NW Cache Rd
Suite 2
Lawton, OK 73505-3335
Phone
(580) 353-0377
Fax
(580) 353-1476
NPI assigned
Aug 30, 2006
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
President / Ao
Phone
(405) 947-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7687 OK Primary

Addresses

Primary practice location

5366 NW Cache Rd
Suite 2
Lawton, OK 73505-3335

Mailing address

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

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
O20051108000914 OK Part A Provider - Home Health Agency 1850201039 Practice locations: Lawton, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750490835. Details of each certification follow.

Home health agency certification: CCN 377636

Legal name
CARTER HEALTHCARE OF SOUTHWEST OKLAHOMA, LLC
Doing business as
CARTER HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2001
Last certification
May 26, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 1, 2000 in OK
Enrollment address
5366 NW Cache Rd
Ste 2
Lawton, OK 73505-3353

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carter Healthcare of Southwest Oklahoma, LLCCCN 377636 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Mar 28, 2001
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
37D0972657Carter Healthcare Inc5366 NW Cache Rd, Ste 2, Lawton, OK 73505Certificate of waiverJun 4, 2028

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
Oklahoma Homecare, LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest Dec 24, 2015 100%
Cynthia Carter Individual 5% Or Greater Indirect Ownership InterestBoard Member Sep 27, 2022 9.71%
Corporate DirectorBoard Member Sep 27, 2022 9.71%
W-2 Managing EmployeeBoard Member Sep 27, 2022 9.71%
Justin Carter Individual 5% Or Greater Indirect Ownership InterestPresident Sep 27, 2022 90.29%
W-2 Managing EmployeePresident Sep 27, 2022 90.29%

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carter HealthcareTulsa, OK, CCN 377637 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2016
Carter Healthcare of South Oklahoma LLCArdmore, OK, CCN 377676 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Carter Healthcare of Central Oklahoma, LLCOklahoma City, OK, CCN 377478 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Carter Healthcare Hospice of East Oklahoma LLCTahlequah, OK, CCN 371616 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Carter Healthcare Hospice of North Oklahoma, LLCPryor, OK, CCN 371643 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016
Carter Healthcare Hospice of Central Oklahoma LLCOklahoma City, OK, CCN 371532 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1750490835",
    "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": "5366 NW CACHE RD",
            "address_2": "SUITE 2",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-353-0377",
            "fax_number": "580-353-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER HEALTHCARE OF SOUTHWEST OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "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": "PRESIDENT / AO",
        "authorized_official_telephone_number": "405-947-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7687",
            "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 Lawton, OK

Sources for this page

Verify at the official NPI Registry.