NPIMap

Organization Active NPI

Voyages of Conroe LLC

  • Psychiatric Hospital
  • Conroe, TX
National Provider Identifier
1104538461
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
VOYAGES OF CONROE LLC
Practice address
1317 South Loop 336 West
Conroe, TX 77304
Phone
(717) 731-9660
NPI assigned
Dec 19, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anthony Misitano
Title
President
Phone
(717) 731-9660

Facilities with the same owner 42

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

View all 42

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Care Compare: Hospital

Medicare Care Compare
Listed as
Voyages Behavioral Health of ConroeCCN 454158
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
45D2279667Voyages Behavioral Health of Conroe1317 South Loop 336 West, Conroe, TX 77304Certificate of waiverApr 4, 2027

Medicare participation

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

Hospital certification: CCN 454158

Legal name
VOYAGES OF CONROE LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 15, 2023
Last certification
Jul 15, 2023
Beds
64
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1317 S Loop 336 W
Conroe, TX 77304-3373
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230306001462 TX Part A Provider - Hospital 2264805639 Practice locations: Conroe, TX

All disclosed owners & managing parties 8

Medicare enrollment files

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

NameRoleSinceShare
Karick E Stober Individual Corporate Officer Nov 3, 2022
Anthony F Misitano Individual Corporate Officer Nov 3, 2022
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 3, 2022
Other Apr 1, 2024
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
James Wilfer Individual W-2 Managing Employee Nov 17, 2022
Voyages Behavioral Health LLC Organization, Enola, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 3, 2022
Andrew Hardin Individual 5% Or Greater Indirect Ownership Interest Nov 3, 2022
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Nov 3, 2022
Corporate Officer Nov 3, 2022

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1317 South Loop 336 West
Conroe, TX 77304

Mailing address

1828 Good Hope Rd Ste 102
Enola, PA 17025-1203

Other names 1

NPPES NPI Registry
  • Voyages Behavioral Health of Conroe Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2022.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1104538461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD STE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 SOUTH LOOP 336 WEST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "717-731-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGES OF CONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Voyages Behavioral Health of Conroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.