NPIMap

Organization Active NPI

Pam Specialty Hospital of Dayton LLC

Doing business as PAM Health Specialty Hospital of Miamisburg

  • Long Term Care Hospital
  • Miamisburg, OH
National Provider Identifier
1881241636
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
PAM SPECIALTY HOSPITAL OF DAYTON LLC
Doing business as
PAM Health Specialty Hospital of Miamisburg
PAM Specialty Hospital of Dayton
Practice address
2310 Crosspointe Dr
FL 1
Miamisburg, OH 45342
Phone
(937) 384-8300
NPI assigned
Aug 26, 2019
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

2310 Crosspointe Dr
FL 1
Miamisburg, OH 45342

Mailing address

1828 Good Hope Rd
Enola, PA 17025-1203

Other names 2

  • PAM Health Specialty Hospital of Miamisburg Doing business as
  • PAM Specialty Hospital of Dayton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191119000453 OH Part A Provider - Hospital 9133551815 Practice locations: Miamisburg, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881241636. Details of each certification follow.

Hospital certification: CCN 362028

Legal name
PAM SPECIALTY HOSPITAL OF DAYTON LLC
Doing business as
PAM HEALTH SPECIALTY HOSPITAL OF MIAMISBURG
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 2001
Last certification
Oct 5, 2005
Beds
44
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 30, 2019 (3 total)
Organization structure
LLCProprietary
Enrollment address
2310 Crosspointe Dr
FL 1
Miamisburg, OH 45342-3599
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Pam Health Specialty Hospital of MiamisburgCCN 362028 · All quality measures
Ownership
Non-profit
Certified
Sep 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Beds
44

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
36D0980776Pam Health Specialty Hospital of2310 Crosspointe Drive, 1St Floor, Miamisburg, OH 45342Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory

Locations

2310 Cross Pointe Dr
Fl 1
Miamisburg, OH 45342
Phone (937) 384-8300

1828 Good Hope Rd
Ste 101
Enola, PA 17025

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 OfficerVP/Treasurer Aug 19, 2019
Anthony F Misitano Individual Corporate OfficerPresident Aug 19, 2019
Pam Cubed LLC Organization, Enola, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2019 100%
Elizabeth Hawkins Individual W-2 Managing Employee Apr 15, 2026
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Financial institution, For-profit 5% Or Greater Security Interest Jul 23, 2024
Brittany Misitano Individual 5% Or Greater Indirect Ownership InterestVice President and Secretary Sep 30, 2019 73.5%
Corporate OfficerVice President and Secretary Aug 19, 2019
Pam Cubed Specialty Hospitals LLC Organization, Enola, PA LLC, Holding company, For-profit, Owned by another organization or individual 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 1

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 2

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": "1715126400000",
    "number": "1881241636",
    "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": "2310 CROSSPOINTE DR",
            "address_2": "FL 1",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-384-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SPECIALTY HOSPITAL OF DAYTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-29",
        "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 Miamisburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Health Specialty Hospital of Miamisburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAM Specialty Hospital of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.