NPIMap

Organization Active NPI

Post Acute Medical at Hammond LLC

Doing business as PAM Specialty Hospital of Hammond

  • Long Term Care Hospital
  • Hammond, LA
National Provider Identifier
1477789980
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2203781615 Issued in LA
Legal business name
POST ACUTE MEDICAL AT HAMMOND LLC
Doing business as
PAM Specialty Hospital of Hammond
Practice address
42074 Veterans Ave
Hammond, LA 70403-1408
Phone
(985) 902-8148
NPI assigned
Jun 10, 2009
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2203781615 LA Primary

Addresses

Primary practice location

42074 Veterans Ave
Hammond, LA 70403-1408

Mailing address

1828 Good Hope Rd
Suite 102
Enola, PA 17025-1233
Phone (717) 731-9660

Other identifiers 2

IdentifierTypeStateIssuer
05388356MedicaidMS
1710814MedicaidLA

Other names 1

  • PAM Specialty Hospital of Hammond Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130215000057 LA Part A Provider - Hospital 5092969394 Practice locations: Hammond, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477789980. Details of each certification follow.

Hospital certification: CCN 192036

Legal name
POST ACUTE MEDICAL AT HAMMOND LLC
Doing business as
PAM SPECIALTY HOSPITAL OF HAMMOND
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 2002
Last certification
Feb 17, 2023
Beds
40
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 14, 2012 (2 total)
Organization structure
LLCProprietary
Enrollment address
42074 Veterans Ave
Hammond, LA 70403-1408
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
P a M Specialty Hospital of HammondCCN 192036 · All quality measures
Ownership
Non-profit
Certified
Sep 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Beds
40

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
19D0980382Pam Specialty Hospital of Hammond42074 Veterans Avenue, Hammond, LA 70403AccreditationMar 19, 2027

National Provider Directory

National Provider Directory

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
Ba Healthcare Holdings, LLC Organization, Enola, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 14, 2012 50%
Post Acute Medical Holdings for Hammond, LLC Organization, Enola, PA Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 14, 2012 100%
Karick E Stober Individual Corporate OfficerVP / Treasurer Apr 20, 2016
Anthony F Misitano Individual 5% Or Greater Indirect Ownership Interest Dec 14, 2012 50%
Corporate OfficerPresident of Legal Provider Enti Dec 14, 2012
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 23, 2024 50%
John E Bauer Individual Corporate OfficerVice President Dec 14, 2012
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Corporation, Financial institution 5% Or Greater Security Interest Jul 23, 2024 100%
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 14, 2012 100%
Micahel Harrell Individual W-2 Managing Employee Mar 2, 2026
Brittany Misitano Individual 5% Or Greater Indirect Ownership Interest Jul 23, 2024 36.75%

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 2

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1477789980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "address_2": "SUITE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-731-9660",
            "fax_number": "717-731-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42074 VETERANS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031408",
            "telephone_number": "985-902-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE MEDICAL AT HAMMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "2203781615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05388356",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Specialty Hospital of Hammond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Specialty Hospital of Hammond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.