PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH
NPI 1417389784
Long Term Care Hospital in Victoria, TX
NPI Status: Active since August 08, 2013
Contact Information
506 E SAN ANTONIO ST
3RD FLOOR
VICTORIA, TX
ZIP 77901
Phone: (361) 575-1445
Fax: (361) 570-1847
- Organization
- Long Term Care Hospital
- CLIA Number: 45D2172102
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-23-2027
About PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH
This page provides the complete NPI Profile along with additional information for Pam Specialty Hospital Of Victoria South, a provider established in Victoria, Texas operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1417389784 assigned on August 2013. The practitioner's primary taxonomy code is 282E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pam Specialty Hospital Of Victoria South. The authorized official of this NPI record is Mr. Anthony F Misitano (President)
- NPI
- 1417389784
- Provider Legal Name
- POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC
- Other Organization Name
- PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 506 E SAN ANTONIO ST 3RD FLOOR VICTORIA, TX 77901
- Location Phone
- (361) 575-1445
- Location Fax
- (361) 570-1847
- Mailing Address
- 1828 GOOD HOPE RD SUITE 102 ENOLA, PA 17025
- Mailing Phone
- (717) 731-9660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2013
- Last Update Date
- 08-03-2023
- Code Navigator
According to the Long-Term Care Hospital Compare program data, Pam Specialty Hospital Of Victoria South is a for profit Medicare certified facility with approximately 42 beds. The initial Medicare certification or recertification date of this facility was on 09-01-2005
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License State
- TX
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 331384301 | MEDICAID (05) | TX | |
| 331384302 | MEDICAID (05) | TX |
Long-Term Care Hospital Compare Information
The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.
| Certification Number CMS Certification Number The CMS certification number (CCN) is used to identify the hospital listed. | 452094 |
| Ownership Type Ownership Type Indicates the hospital's ownership type: For Profit, Non-profit, Government | For profit |
| Certification Date Certification Date The initial Medicare certification or recertification date of the hospital. | 09-01-2005 |
| Number of Beds Total Number of Beds The total number of beds in the hospital. | 42 |
| Catheter-associated urinary tract infections (CAUTI) | No Different than the National Benchmark |
| Central line-associated bloodstream infections (CLABSI) | No Different than the National Benchmark |
| Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay | 0.0 |
| Clostridium difficile Infection (CDI) | No Different than the National Benchmark |
| Influenza Vaccination Coverage Among Healthcare Personnel | 80.0 |
| Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH | No Different than the National Rate |
| Rate of successful return to home and community from an LTCH | No Different than the National Rate |
| Medicare Spending Per Beneficiary (MSPB) in LTCHs | $460 |
| Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified | 99.3 |
| Percentage of patients with pressure ulcers/injuries that are new or worsened | 0.5 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2172102
- Facility Type
- Hospital
- Certificate Effective Date
- October 24, 2025
- Certificate Expiration Date
- October 23, 2027
- Laboratory Director
- JOHN VAN METRE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Pam Specialty Hospital Of Victoria South on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417389784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 76 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
VICTORIA, TX 77901
VICTORIA, TX 77901
VICTORIA, TX 77901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417389784, enumerated as an "organization" on August 08, 2013.
The provider is located at 506 E SAN ANTONIO ST 3RD FLOOR VICTORIA, TX 77901 and the phone number is (361) 575-1445.
Long Term Care Hospital with taxonomy code 282E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
