NPIMap

Organization Active NPI

Post Acute Medical at Victoria LLC

Doing business as PAM Specialty Hospital of Victoria North

  • Long Term Care Hospital
  • Victoria, TX
National Provider Identifier
1659316115
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
POST ACUTE MEDICAL AT VICTORIA LLC
Doing business as
PAM Specialty Hospital of Victoria North
PAM Specialty Hospital of Victoria Southeast
Practice address
102 Medical Dr
Victoria, TX 77904-3101
Phone
(361) 576-6200
Fax
(361) 572-9296
NPI assigned
Jun 18, 2006
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
Mr. Anthony F Misitano
Title
President
Phone
(717) 731-9660

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital Unit 273Y00000X
Special Hospital 284300000X 000831 TX
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

102 Medical Dr
Victoria, TX 77904-3101

Mailing address

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

Other practice location 1

2701 Hospital Dr Fl 6
Victoria, TX 77901-5748
Phone (361) 237-1957

Other identifiers 3

IdentifierTypeStateIssuer
0211807-02MedicaidTX
1991838-01MedicaidTX
1991838-03MedicaidTX

Other names 2

  • PAM Specialty Hospital of Victoria North Doing business as
  • PAM Specialty Hospital of Victoria Southeast Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061228000255 TX Part A Provider - Hospital 1951301803 Practice locations: Victoria, TX
O20190906000444 TX Part A Provider - Hospital 1951301803 Practice locations: Victoria, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1659316115. Details of each certification follow.

Hospital certification: CCN 452094

Legal name
POST ACUTE MEDICAL AT VICTORIA LLC
Doing business as
PAM SPECIALTY HOSPITAL OF VICTORIA NORTH
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 2005
Last certification
Apr 6, 2024
Beds
42
Ownership / control type
Private (for profit)
Most recent change of ownership
Dec 1, 2006 (1 total)
Organization structure
LLCProprietary
Incorporated
Oct 24, 2006 in DE
Enrollment address
102 Medical Dr
Victoria, TX 77904-3101
Main/Primary Hospital Location
Hospital subgroups
Long-term, Short-term

Hospital certification: CCN 45TA94

Legal name
POST ACUTE MEDICAL AT VICTORIA LLC
Organization structure
LLCProprietary
Enrollment address
102 Medical Dr
Rooms 200-210
Victoria, TX 77904-3101
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Pam Specialty Hospital of Victoria NorthCCN 45TA94 · All quality measures
Ownership
For profit
Certified
Jan 1, 2020

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Pam Specialty Hospital of Victoria NorthCCN 452094 · All quality measures
Ownership
For profit
Certified
Sep 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Beds
42

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
45D0945501Pam Specialty of Victoria North102 Medical Drive, Victoria, TX 77904AccreditationApr 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Post Acute Medical at San Antonio 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

8601 Village Dr
Ste 220
San Antonio, TX 78217
Phone (210) 599-2030

102 Medical Dr
Rm 200210
Victoria, TX 77904
Phone (361) 576-6200

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 and Treasurer Apr 20, 2016
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 Nov 16, 2020
Other Apr 1, 2024
James Whitacre Individual W-2 Managing Employee Apr 13, 2026
Wells Fargo Bank, N.a. Organization, Minneapolis, MN 5% Or Greater Security Interest Jul 23, 2024
Brittany Misitano Individual 5% Or Greater Indirect Ownership InterestVice President and Secretary May 23, 2023 73.5%
5% Or Greater Indirect Ownership Interest Nov 15, 2020 73.5%
Corporate Officer Nov 16, 2020
Pam Cubed Specialty Hospitals LLC Organization, Enola, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 16, 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 4

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1659316115",
    "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": "102 MEDICAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-576-6200",
            "fax_number": "361-572-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Hospital Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015748",
            "country_code": "US",
            "telephone_number": "361-237-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POST ACUTE MEDICAL AT VICTORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "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",
        "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": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "000831",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211807-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991838-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991838-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Specialty Hospital of Victoria North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Specialty Hospital of Victoria Southeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.