Ignite Medical Resort Rainbow Boulevard LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT RAINBOW BOULEVARD LLC

Practice address

3910 Rainbow Boulevard
Kansas City, KS 66103

Phone

(913) 901-8462

NPI assigned

Jul 30, 2019

Organization subpart

No

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

Authorized official

Name

Tim Fields

Title

Chief Executive Officer

Phone

(630) 327-2951

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Kansas Hospital Authority

  • Community/Retail Pharmacy
  • Kansas City, KS
  • NPI 1457335036

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louay K. Sabih, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1003800459
  NPD (past)
• Dennis R Drews, MD

  • Internal Medicine Physician
  • Lees Summit, MO
  • NPI 1972614519
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1194379065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 W TOUHY AVENUE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 RAINBOW BOULEVARD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66103",
            "telephone_number": "913-901-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT RAINBOW BOULEVARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-327-2951"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip D Hylton, M.D.
• I Smile KCK LLC
• Emily Iannazzo, DO
• Tamar R Ibanez, NP
• Elizabeth Frances Ibarra
• Stephanie A Ikeme, D.O.
• Amna Ilahe, M.D
• Caitlin Iliff, FNP
• Anna Ilivicky
• Bryan Imhoff, M.D., M.B.A.

• Skilled Nursing Facility in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.