NPIMap

Organization Active NPI

Ignite Medical Resort El Paso, LLC

  • Skilled Nursing Facility
  • El Paso, TX
National Provider Identifier
1083434336
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IGNITE MEDICAL RESORT EL PASO, LLC
Practice address
3421 Joe Battle Blvd
El Paso, TX 79936-2791
Phone
(915) 599-5500
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Timothy Fields
Title
Manager
Phone
(847) 453-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3421 Joe Battle Blvd
El Paso, TX 79936-2791

Mailing address

1550 N Northwest Hwy Ste 430
Park Ridge, IL 60068-1461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116000820 TX Part A Provider - Skilled Nursing Facility 8325576424 1 other NPI on this enrollment
Practice locations: El Paso, TX

Skilled nursing facility certification: CCN 676428

Legal name
IGNITE MEDICAL RESORT EL PASO, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 19, 2017
Last certification
Jun 6, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2024
Organization structure
LLCProprietary
Enrollment address
3421 Joe Battle Blvd
El Paso, TX 79936-2791
Nursing home name
IGNITE MEDICAL RESORT EL PASO, LLC
Affiliated entity
IGNITE MEDICAL RESORTS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ignite Medical Resort El Paso, LLCCCN 676428
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 19, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6051.4 residents per day on average
Chain
Ignite Medical Resorts22 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $67,425

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ignite Medical Resort El Paso 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

3421 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 599-5500

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Prestige Worldwide El Paso, LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 20%
Adp of the SNF Jan 16, 2025
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 16.67%
Adp of the SNF Jan 16, 2025
Ezhil Panneerselvam Individual Adp of the SNF Dec 1, 2024
Todd a Stern Individual Trustee of the SNF Dec 1, 2024
Barry Carr Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 37.56%
Adp of the SNF Jan 16, 2025
Ignite El Paso Property, LLC Organization, Park Ridge, IL LLC Adp of the SNF Jan 16, 2025
Benjamin Israel Individual 5% Or Greater Indirect Ownership InterestTrustee Dec 1, 2024 16.67%
Adp of the SNF Jan 16, 2025
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 16.66%
Adp of the SNF Jan 16, 2025
Ignite Team Partners LLC Organization, Park Ridge, IL LLC Operational/Managerial Control Nov 14, 2024
Adp of the SNF Jan 16, 2025
Blue Pearl Financial LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 32%
Adp of the SNF Jan 16, 2025
Ignite El Paso JV, LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 50%
Adp of the SNF Jan 16, 2025
Stern Family Investment TR Organization, Skokie, IL Adp of the SNF Jun 16, 2025
Ab Investment Trust U/a/D 1/3/23 Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 33.33%
Adp of the SNF Jan 16, 2025
Ignite Post Acute Solutions LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 40%
Adp of the SNF Jan 16, 2025
Gold Pearl, LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 8%
Adp of the SNF Jan 16, 2025
Ignite Medical Resort El Paso, LLC Organization, Park Ridge, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Nov 14, 2024
Adp of the SNF Jan 16, 2025
Direct Ownership Interest Dec 1, 2024
Ignite-Villa Holdco LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 50%
Adp of the SNF Jan 16, 2025
Timothy Fields Individual 5% Or Greater Indirect Ownership InterestManager Dec 1, 2024 41%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Berger Fam TR Ua 06252014 Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 33.34%
Adp of the SNF Jan 16, 2025
Claudia Flores Individual Adp of the SNF Dec 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1083434336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY STE 430",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362791",
            "telephone_number": "915-599-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT EL PASO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-453-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.