Ignite Medical Resort Clear Lake LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT CLEAR LAKE LLC

Doing business as

Ignite Medical Resort Baywind

Practice address

411 Alabama Ave
League City, TX 77573-2615

Phone

(281) 332-9588

NPI assigned

Oct 12, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Fields

Title

Ceo

Phone

(847) 453-4000

Specialties & licenses 1

Addresses

Other names 1

• Ignite Medical Resort Baywind Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1114822848",
    "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",
            "telephone_number": "847-453-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ALABAMA AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732615",
            "telephone_number": "281-332-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT CLEAR LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-453-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Medical Resort Baywind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in League City, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.