Pam Squared at Las Vegas, LLC
Organization Active NPI Rehabilitation Hospital · Las Vegas, NV
NPI 1366976276 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1366976276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Anthony F. Misitano
- Title
- President
- Phone
- (717) 731-9660
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Facilities with the same owner 8
Practitioners 12
-
Haitham A Elconsul, M.D.
-
Ahmed Jaradat, MD
-
Shivesh Sri Kumar, M.D.
-
Robert Joseph Paulino, M.D.
-
Muhammad S Sabir, MD
-
Amarjit K Singh, MD
-
Zongqi Yang, MD
-
Daniel Itano, D.O.
Affiliated clinicians 40
-
Joan Achondo, MSN, AGACNP-BC
-
Badar Anwar, M.D.
-
Karam Batieha, MD
-
Michael John Bondoc, APRN - FNPC
-
Nouhad Damaj, MD
-
Haitham A Elconsul, M.D.
-
Maria Habbi, M.D.
-
Gaurav Jain, MD
-
Pavan K Janapati, M.D.
-
Ahmed Jaradat, MD
-
Charles E Kamen, M.D.
-
Ronald G Kong, M.D.
-
Shivesh Sri Kumar, M.D.
-
Khuong Thanh Lam, DO
-
Andrew Sang Lee, M.D.
-
Toya Venetta Malone, M.D.
-
Kristi Lynn Navarette, FNP-C
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Pam Rehabilitation Hospital of Centennial Hills
- Ownership
- For profit
- Certified
- Jan 9, 2018
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2136351 | Pam Rehabilitation Hospital of Centennial Hills | Certificate of waiver | Sep 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
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
- LLC · Proprietary
- Incorporated
- Jul 23, 2015 in PA
- Enrollment address
- 6166 N Durango Dr
Las Vegas, NV 89149-3912 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Karick E Stober |
Corporate Officer |
Jul 27, 2015 | |
| Anthony F Misitano |
5% Or Greater Indirect Ownership Interest | Jul 27, 2015 | 65.67% |
| Corporate Officer |
Jul 27, 2015 | ||
| Pam Cubed LLC |
Other | Apr 1, 2024 | |
| Wells Fargo Bank, N.a. |
5% Or Greater Security Interest | Jul 23, 2024 | |
| Daniel Kunde |
W-2 Managing Employee | Mar 19, 2023 | |
| Brittany Misitano |
Corporate Officer | Apr 2, 2026 | |
| Pam Squared, LLC |
5% Or Greater Direct Ownership Interest | Jul 27, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170920003084 | NV | Part a Provider - Hospital | 4880968486 |
1 other NPI on this enrollment Practice locations: Henderson, NV; Las Vegas, NV |
National Provider Directory
- Tax ID family
- Pam Squared at Las Vegas LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
6166 North Durango Drive
Las Vegas, NV 89149
Mailing address
1828 Good Hope Rd Ste 101
Enola, PA 17025-1203
Other providers in Las Vegas, NV
- Roslyn Paluay
- Rachael Palumbo
- Myrna Manzano Palustre
- Ashley Palya
- Pam Specialty Hospital of Las Vegas LLC
- Amy Pam
- Vanessa Pamblanco
- Pamela J. West, D.D.S., LTD.
- Pamela Nyon LLC
- Pamela Roberts LCSW
All providers in Las Vegas, NV · Rehabilitation Hospital in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.