NPIMap

Organization Active NPI

Residential Hospice of Carlisle, LLC

  • Community Based Hospice Care Agency
  • Mechanicsburg, PA
National Provider Identifier
1164567186
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RESIDENTIAL HOSPICE OF CARLISLE, LLC
Practice address
100 Sterling Pkwy Ste 110
Mechanicsburg, PA 17050-2903
Phone
(888) 923-5842
NPI assigned
Feb 20, 2007
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin Dewitte
Title
Ceo
Phone
(248) 930-9743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

100 Sterling Pkwy Ste 110
Mechanicsburg, PA 17050-2903

Mailing address

150 Scharberry LN
Mars, PA 16046-2430
Phone (888) 923-5842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000605 PA Part A Provider - Hospice 6103920053 Practice locations: Mechanicsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164567186. Details of each certification follow.

Hospice certification: CCN 391692

Legal name
RESIDENTIAL HOSPICE OF CARLISLE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 10, 2007
Last certification
Jun 30, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 5, 2007 in PA
Enrollment address
100 Sterling Pkwy
Ste 110
Mechanicsburg, PA 17050-2903

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Residential Hospice of Carlisle, LLCCCN 391692 · All quality measures
Ownership
For-Profit
Certified
Oct 10, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Celtic Hospice and Palliative Services of Carlisle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Sterling Pkwy
Ste 110
Mechanicsburg, PA 17050
Phone (855) 969-3347

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Sloaf Individual Operational/Managerial ControlDirector of Regulatory Affairs Oct 9, 2025
Leeann Lang Individual Corporate OfficerSenior VP of Administration Oct 9, 2025
Graham Healthcare Group Inc Organization, Arlington, VA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 5, 2012 100%
Deedrea Grein Individual Corporate OfficerCeo Dec 1, 2025
Graham Holdings Company Organization, Arlington, VA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Jason Pierce Individual Corporate OfficerCfo Oct 9, 2025
Amy Kent Individual W-2 Managing EmployeeDirector of Hospice Mar 16, 2018
Operational/Managerial ControlDirector of Hospice Jun 15, 2016
Celtic Healthcare Inc & Qualified Subsidiaries Organization, Troy, MI Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 5, 2007 100%
William S. Kauffman Individual Contracted Managing EmployeeMedical Director Feb 12, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1164567186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCHARBERRY LN",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462430",
            "telephone_number": "888-923-5842",
            "fax_number": "724-742-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STERLING PKWY STE 110",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502903",
            "telephone_number": "888-923-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL HOSPICE OF CARLISLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "DEWITTE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-930-9743"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.