NPIMap

Organization Active NPI

Pam Specialty Hospital of Reno LLC

Doing business as PAM Health Specialty Hospital of Reno

  • Long Term Care Hospital
  • Reno, NV
National Provider Identifier
1730736596
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
PAM SPECIALTY HOSPITAL OF RENO LLC
Doing business as
PAM Health Specialty Hospital of Reno
Practice address
235 W 6TH St FL 2
Reno, NV 89503-4548
Phone
(775) 473-2078
NPI assigned
Aug 26, 2019
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

235 W 6TH St FL 2
Reno, NV 89503-4548

Mailing address

1828 Good Hope Rd
Enola, PA 17025-1203

Other names 1

  • PAM Health Specialty Hospital of Reno Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126001351 NV Part A Provider - Hospital 6709219165 Practice locations: Reno, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730736596. Details of each certification follow.

Hospital certification: CCN 292004

Legal name
PAM SPECIALTY HOSPITAL OF RENO LLC
Doing business as
PAM HEALTH SPECIALTY HOSPITAL OF RENO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 1997
Last certification
Dec 24, 2021
Beds
21
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 30, 2019 (2 total)
Organization structure
LLCProprietary
Incorporated
Aug 20, 2019 in PA
Enrollment address
235 W 6TH St
FL 2
Reno, NV 89503-4548
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Pam Specialty Hospital of Sparks LLCCCN 292004 · All quality measures
Ownership
For profit
Certified
Sep 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Beds
21

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
29D1020572Pam Health Specialty Hospital of Reno235 W 6TH Street, 2ND Floor, Reno, NV 89503Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah Castle-Britt Individual W-2 Managing Employee Oct 13, 2024
Karick E Stober Individual Corporate OfficerVice President and Treasurer Aug 20, 2019
Anthony F Misitano Individual Corporate OfficerPresident Aug 20, 2019
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 30, 2019 100%
Samantha Billig Individual W-2 Managing Employee Oct 24, 2023
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Financial institution 5% Or Greater Security Interest Jul 23, 2024
Brittany Misitano Individual 5% Or Greater Indirect Ownership InterestVice President and Secretary Sep 30, 2019 67.5%
Corporate OfficerVice President and Secretary Aug 20, 2019
Pam Cubed Specialty Hospitals LLC Organization, Enola, PA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 30, 2019 100%

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 4

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1730736596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST FL 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-473-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SPECIALTY HOSPITAL OF RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "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"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Health Specialty Hospital of Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.