NPIMap

Organization Active NPI

Pam II of Covington, LLC

Doing business as PAM Health Specialty and Rehabilitation Hospital of Covington

  • Long Term Care Hospital
  • Covington, LA
National Provider Identifier
1417930751
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
680 Issued in LA
Legal business name
PAM II OF COVINGTON, LLC
Doing business as
PAM Health Specialty and Rehabilitation Hospital of Covington
PAM Specialty Hospital of Covington
Practice address
20050 Crestwood Blvd
Covington, LA 70433-5207
Phone
(985) 902-8148
NPI assigned
Nov 21, 2005
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Mr. Karick Stober
Title
Chief Financial Officer
Phone
(717) 731-9660

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital Unit 273Y00000X
Long Term Care Hospital 282E00000X 680 LA Primary
Rehabilitation Hospital 283X00000X

Addresses

Primary practice location

20050 Crestwood Blvd
Covington, LA 70433-5207

Mailing address

1828 Good Hope Rd Ste 102
Enola, PA 17025-1203
Phone (717) 731-9660

Other names 2

  • PAM Health Specialty and Rehabilitation Hospital of Covington Doing business as
  • PAM Specialty Hospital of Covington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100512000264 LA Part A Provider - Hospital 0143358184 Practice locations: Covington, LA
O20210107000566 LA Part A Provider - Hospital 0143358184 Practice locations: Covington, LA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1417930751. Details of each certification follow.

Hospital certification: CCN 192048

Legal name
PAM II OF COVINGTON, LLC
Doing business as
PAM SPECIALTY HOSPITAL OF COVINGTON
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 30, 2004
Last certification
Jan 17, 2026
Beds
58 (30 certified)
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 17, 2010 (2 total)
Organization structure
LLCProprietary
Incorporated
Apr 14, 2009 in DE
Enrollment address
20050 Crestwood Boulevard
Covington, LA 70433-5207
Other Hospital Practice Location
Hospital subgroups
Long-term

Hospital certification: CCN 19TA48

Legal name
PAM II OF COVINGTON, LLC
Organization structure
LLCProprietary
Enrollment address
20050 Crestwood Blvd
Rooms 301-308 & 401-408
Covington, LA 70433-5207
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
P a M Specialty Hospital of CovingtonCCN 19TA48 · All quality measures
Ownership
For profit
Certified
Jan 1, 2021

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
P a M Specialty Hospital of CovingtonCCN 192048 · All quality measures
Ownership
For profit
Certified
Jan 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
58

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
19D0927145Pam Specialty Hospital of Covington20050 Crestwood Boulevard, Covington, LA 70433AccreditationSep 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pam II of Covington 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.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

20050 Crestwood Blvd
Rm 301308
Covington, LA 70433
Phone (985) 875-7525

Ownership & related parties

All disclosed owners & managing parties 10

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 Sep 1, 2012
Anthony F Misitano Individual Corporate OfficerPresident Apr 20, 2016
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2021 92.65%
Other Apr 1, 2024
5% Or Greater Indirect Ownership Interest Mar 1, 2021 87.77%
Pam II Holdings, LLC Organization, Enola, PA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest May 23, 2016 18%
5% Or Greater Indirect Ownership Interest Mar 1, 2021 74.65%
5% Or Greater Indirect Ownership Interest Mar 20, 2010 74.65%
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
5% Or Greater Security Interest Jul 23, 2024 100%
Covington Hospital General Manager, LLC Organization, Enola, PA LLC 5% Or Greater Direct Ownership Interest Mar 17, 2010 82%
Timothy Scott Thigpen Individual W-2 Managing Employee May 11, 2026
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2021 73.6%
Corporate Officer Apr 2, 2026
5% Or Greater Indirect Ownership Interest Mar 1, 2021 69.58%
Pam II Management Company, LLC Organization, Enola, PA LLC Operational/Managerial Control Mar 17, 2010
Pam Cubed Specialty Hospitals LLC Organization, Enola, PA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2021 92.65%
5% Or Greater Indirect Ownership Interest Mar 1, 2021 87.77%

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 3

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1417930751",
    "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",
            "telephone_number": "717-731-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 CRESTWOOD BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335207",
            "telephone_number": "985-902-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM II OF COVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "STOBER",
        "authorized_official_first_name": "KARICK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-731-9660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "680",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Health Specialty and Rehabilitation Hospital of Covington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Health Specialty and Rehabilitation Hospital of Covington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Specialty Hospital of Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.