NPIMap

Organization Active NPI

Pam Cubed Rehabilitation Hospital of Fargo LLC

Doing business as PAM Rehabilitation Hospital of Fargo

  • Rehabilitation Hospital
  • Fargo, ND
National Provider Identifier
1316569874
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
PAM CUBED REHABILITATION HOSPITAL OF FARGO LLC
Doing business as
PAM Rehabilitation Hospital of Fargo
Practice address
4671 38TH St S
Fargo, ND 58104-7866
Phone
(701) 404-5100
NPI assigned
May 7, 2020
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

4671 38TH St S
Fargo, ND 58104-7866

Mailing address

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

Other names 1

  • PAM Rehabilitation Hospital of Fargo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029001354 ND Part A Provider - Hospital 8325458557 Practice locations: Fargo, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316569874. Details of each certification follow.

Hospital certification: CCN 353026

Legal name
PAM CUBED REHABILITATION HOSPITAL OF FARGO LLC
Doing business as
PAM REHABILITATION HOSPITAL OF FARGO
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Nov 22, 2019
Last certification
Nov 22, 2019
Beds
42
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2020 (1 total)
Organization structure
LLCProprietary
Enrollment address
4671 38TH St S
Fargo, ND 58104-7866
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Rehabilitation Hospital of FargoCCN 353026 · All quality measures
Ownership
For profit
Certified
Nov 22, 2019
Medicare certification status
ActiveFrom the Provider of Services file

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
35D2144615Pam Cubed Rehabilitation Hospital of Fargo LLC4671 38TH St S, Fargo, ND 58104Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Corey Langerud Individual W-2 Managing EmployeeCeo Aug 18, 2025
Karick E Stober Individual Corporate Officer Oct 1, 2020
Anthony F Misitano Individual Corporate Officer Oct 1, 2020
Pam Cubed LLC Organization, Enola, PA LLC, Holding company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Financial institution, For-profit 5% Or Greater Security Interest Jul 23, 2024
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2020
Corporate Officer Oct 1, 2020

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

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 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1316569874",
    "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": "4671 38TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047866",
            "telephone_number": "701-404-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM CUBED REHABILITATION HOSPITAL OF FARGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Rehabilitation Hospital of Fargo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Rehabilitation Hospital of Fargo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.