Healthcare Provider Details

I. General information

NPI: 1285697706
Provider Name (Legal Business Name): DCA OF CARLISLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 JENNIFER CT STE C
CARLISLE PA
17015-7791
US

IV. Provider business mailing address

PO BOX 251549
PLANO TX
75025-1500
US

V. Phone/Fax

Practice location:
  • Phone: 717-258-3099
  • Fax: 717-258-3632
Mailing address:
  • Phone: 870-931-5400
  • Fax: 870-931-5418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierPPA01553
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA CHRONIC RENAL PROGRAM
# 2
Identifier0016627710001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. THOMAS L. WEINBERG
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 214-736-2730