Post Acute Specialty Hospital of Milwaukee LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

POST ACUTE SPECIALTY HOSPITAL OF MILWAUKEE LLC

Doing business as

PAM Specialty Hospital of Milwaukee

Practice address

5017 S 110TH St
Greenfield, WI 53228-3131

Phone

(414) 427-8282

Fax

(414) 529-6656

NPI assigned

May 9, 2013

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony F Misitano

Title

President

Phone

(717) 731-9660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAM Specialty Hospital of Milwaukee Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033554506. Details of each certification follow.

• CCN 522004 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 522004

Legal name

PAM SPECIALTY HOSPITAL OF MILWAUKEE

Certification status

Terminated Voluntary: merger or closure, Apr 30, 2019

Provider type (POS)

Hospital – Long-term

Participating since

Oct 1, 1994

Last certification

Aug 30, 2017

Beds

62

Ownership / control type

Private (for profit)

Most recent change of ownership

Sep 25, 2013 (4 total)

Facility address

5017 S 110TH St
Greenfield, WI 53228

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1033554506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "address_2": "SUITE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-731-9660",
            "fax_number": "717-731-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 S 110TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283131",
            "telephone_number": "414-427-8282",
            "fax_number": "414-529-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE SPECIALTY HOSPITAL OF MILWAUKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033554506",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Specialty Hospital of Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggie M Pires
• Anthony R Pirolo, DPT
• Charles Scot Player, D.O.
• Michelle Poole, OT
• Nia Posey, LMT
• Kinga Postolowicz
• Marica Potkonjak
• Isaac A Pratzel
• Preferred Rehabilitation and Orthopedic Care Center S.C.
• Premier Periodontics LLC

• Long Term Care Hospital in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Long Term Care Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.