NPIMap

Organization Active NPI

Pam Squared at Las Vegas, LLC

  • Rehabilitation Hospital
  • Las Vegas, NV
National Provider Identifier
1366976276
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
PAM SQUARED AT LAS VEGAS, LLC
Practice address
6166 North Durango Drive
Las Vegas, NV 89149
Phone
(725) 223-4100
NPI assigned
Apr 18, 2017
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 F. Misitano
Title
President
Phone
(717) 731-9660

Specialties & licenses 2

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

Addresses

Primary practice location

6166 North Durango Drive
Las Vegas, NV 89149

Mailing address

1828 Good Hope Rd Ste 101
Enola, PA 17025-1203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920003084 NV Part A Provider - Hospital 4880968486 1 other NPI on this enrollment
Practice locations: Henderson, NV; Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366976276. Details of each certification follow.

Hospital certification: CCN 293034

Legal name
PAM SQUARED AT LAS VEGAS, LLC
Doing business as
PAM REHABILITATION HOSPITAL OF CENTENNIAL HILLS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jan 9, 2018
Last certification
Jan 28, 2021
Beds
44
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 23, 2015 in PA
Enrollment address
6166 N Durango Dr
Las Vegas, NV 89149-3912
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Rehabilitation Hospital of Centennial HillsCCN 293034 · All quality measures
Ownership
For profit
Certified
Jan 9, 2018
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
29D2136351Pam Rehabilitation Hospital of Centennial Hills6166 N Durango Drive, Las Vegas, NV 89149Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pam Squared at Las Vegas LLC2 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

1828 Good Hope Rd
Ste 101
Enola, PA 17025

Ownership & related parties

All disclosed owners & managing parties 7

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 OfficerVice President/Treasurer Jul 27, 2015
Anthony F Misitano Individual 5% Or Greater Indirect Ownership Interest Jul 27, 2015 65.67%
Corporate OfficerPresident Jul 27, 2015
Pam Cubed LLC Organization, Enola, PA Chain home office Other Apr 1, 2024
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Daniel Kunde Individual W-2 Managing Employee Mar 19, 2023
Brittany Misitano Individual Corporate Officer Apr 2, 2026
Pam Squared, LLC Organization, Enola, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 27, 2015 100%

Facilities with the same owner 8

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1366976276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD STE 101",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 NORTH DURANGO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "725-223-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SQUARED AT LAS VEGAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "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"
    },
    "taxonomies": [
        {
            "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": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.