# CARTER HEALTHCARE OF SAN ANGELO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carter Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386601417
- **Authorized official:** JUSTIN CARTER (AUTHORIZED OFFICIAL/PRESIDENT)
- **Authorized official phone:** (405) 947-7700

## Contact information

- **Practice address:** 317 W CHURCH ST STE 106, LIVINGSTON, TX 77351-3242
- **Practice address phone:** (281) 241-8264
- **Practice address fax:** (281) 376-4357
- **Mailing address:** 3105 S MERIDIAN AVE, OKLAHOMA CITY, OK 73119-1022
- **Mailing address phone:** (405) 947-7700
- **Mailing address fax:** (405) 947-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 009919 | TX | Yes |
| 251E00000X | Home Health Agency | 009919 | TX | — |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 08/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 179435601 | — | TX |