Pam Specialty Hospital of Reno LLC
Organization Active NPI Long Term Care Hospital · Reno, NV
NPI 1730736596 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1730736596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- PAM SPECIALTY HOSPITAL OF RENO LLC
- Practice address
- 235 W 6TH St FL 2
Reno, NV 89503-4548 - Phone
- (775) 473-2078
- NPI assigned
- Aug 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Anthony Misitano
- Title
- President
- Phone
- (717) 731-9660
Facilities with the same owner 42
Practitioners 2
-
Samuel Benjamin Carli, M.D.
Affiliated clinicians 4
-
Samuel Benjamin Carli, M.D.
-
Subani Gautam, M.D.
-
Yanning Wang, M.D.
Medicare Care Compare: Long-term care hospital
- Listed as
- Pam Specialty Hospital of Sparks LLC
- Ownership
- For profit
- Certified
- Sep 1, 1997
- Medicare certification status
- Active
- Beds
- 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D1020572 | Pam Health Specialty Hospital of Reno | Certificate of waiver | Dec 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
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
- LLC · Proprietary
- Incorporated
- Aug 20, 2019 in PA
- Enrollment address
- 235 W 6TH St
FL 2
Reno, NV 89503-4548 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Sarah Castle-Britt |
W-2 Managing Employee | Oct 13, 2024 | |
| Karick E Stober |
Corporate Officer |
Aug 20, 2019 | |
| Anthony F Misitano |
Corporate Officer |
Aug 20, 2019 | |
| Pam Cubed LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 100% |
| Samantha Billig |
W-2 Managing Employee | Oct 24, 2023 | |
| Wells Fargo Bank, N.a. |
5% Or Greater Security Interest | Jul 23, 2024 | |
| Brittany Misitano |
5% Or Greater Indirect Ownership Interest |
Sep 30, 2019 | 67.5% |
| Corporate Officer |
Aug 20, 2019 | ||
| Pam Cubed Specialty Hospitals LLC |
5% Or Greater Direct Ownership Interest | Sep 30, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191126001351 | NV | Part a Provider - Hospital | 6709219165 | Practice locations: Reno, NV |
National Provider Directory
Locations
2375 E Prater Way
Fl 7
Sparks, NV 89434
Phone (775) 219-8969
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Yes |
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
- PAM Health Specialty Hospital of Reno
Other providers in Reno, NV
- Robbin Palmer
- Roya-LL Palmer
- Robby Palms
- David E Palosaari
- Lucie Anne Palumbo
- Pamela E. Netuschil M.D. LTD
- Pamela S Hill
- Golden Pan
- Ioana Cosette Pana
- Randall Joseph Pane
All providers in Reno, NV · Long Term Care 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 Oct 24, 2023. 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.