Organization Active NPI

Ignite Medical Resort Chesterton LLC

  • Skilled Nursing Facility
  • Chesterton, IN
National Provider Identifier
1326895053
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IGNITE MEDICAL RESORT CHESTERTON LLC
Practice address
2775 Village PT
Chesterton, IN 46304-0099
Phone
(219) 304-6700
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 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
(833) 944-6483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2775 Village PT
Chesterton, IN 46304-0099

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 IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823001335 IN Part A Provider - Skilled Nursing Facility 5698214542 Practice locations: Chesterton, IN

Skilled nursing facility certification: CCN 155844

Legal name
IGNITE MEDICAL RESORT CHESTERTON LLC
Doing business as
IGNITE MEDICAL RESORT CHESTERTON
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 9, 2016
Last certification
Nov 1, 2024
Beds
125 (70 certified)
Ownership / control type
Individual
Multi-facility organization
Ignite
Organization structure
LLCProprietary
Enrollment address
2775 Village PT
Chesterton, IN 46304-0099
Nursing home name
IGNITE MEDICAL RESORT CHESTERTON
Affiliated entity
IGNITE MEDICAL RESORTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ignite Medical Resort ChestertonCCN 155844 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Individual
Certified
Mar 9, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7067.3 residents per day on average
Chain
Ignite Medical Resorts22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 56

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

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 5%
Individual Adp of the SNF Jun 1, 2024
John T McFarlane Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 4%
Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Jun 1, 2024
Ignite-Villa in Holdco LLC Organization, Lincolnwood, IL Created for acquisition, LLC, Holding company Indirect Ownership Interest Jun 1, 2024 50%
Organization, Park Ridge, IL LLC, Medical staffing company Adp of the SNF Jun 1, 2024
Organization, Lincolnwood, IL Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 3%
Lashonda Robinson Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Individual Indirect Ownership Interest Jun 1, 2024 2%
Jim White Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Prestige Worldwide Chesterton LLC Organization, Park Ridge, IL LLC, Holding company, Consulting firm Indirect Ownership Interest Jun 1, 2024 10%
Individual Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.5%
Todd a Stern Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyInvestor Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 10%
Organization, Johnsburg, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Alexander a Stemer Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Barry Carr Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyChairman Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 16.56%
Yehudis E Israel Individual Indirect Ownership Interest Jun 1, 2024 5%
Aviva Berger Individual Indirect Ownership Interest Jun 1, 2024 5%
Shawna Rainey Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 1.11%
Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Jared Carr Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 2%
Organization, Lincolnwood, IL LLC Adp of the SNF Jun 1, 2024
Anc Indiana Opco LLC Organization, Lincolnwood, IL LLC, Holding company Indirect Ownership Interest Jun 1, 2024 20%
Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Jun 1, 2024
Marc L Rose Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Nirmala Murugavel Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Benjamin Israel Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyInvestor Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 5%
David Hartman Individual Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 9%
Individual Adp of the SNF Jun 1, 2024
Marnie Davisson Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Ignite Medical Resort Chesterton LLC Organization, Park Ridge, IL LLC, Medical provider/supplier Direct Ownership Interest Jun 1, 2024 100%
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 5%
Karen Gillis Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%
Ryan Gobst Individual Indirect Ownership Interest Jun 1, 2024 2%
Organization, Lincolnwood, IL Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 4%
Ignite Team Partners LLC Organization, Park Ridge, IL LLC, Management services company, Consulting firm, For-profit, Chain home office Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Blue Pearl Financial LLC Organization, Park Ridge, IL LLC, Holding company, Consulting firm, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 16%
Drake Louis Enterprise, LLC Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 7%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 10%
Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Individual Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 2%
Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Menachem Berger Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyInvestor Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 10%
Ignite Post Acute Solutions LLC Organization, Park Ridge, IL LLC, Holding company, Consulting firm, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 20%
Gold Pearl, LLC Organization, Park Ridge, IL LLC, Holding company, Consulting firm Indirect Ownership Interest Jun 1, 2024 4%
Ignite Chesterton JV LLC Organization, Park Ridge, IL Created for acquisition, LLC, Holding company Indirect Ownership Interest Jun 1, 2024 50%
Individual Adp of the SNF Jun 1, 2024
Timothy Fields Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyCeo Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 20.56%
Mathew Thengil Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Direct Ownership Interest Jun 1, 2024 1.11%
Organization, Lincolnwood, IL LLC, Holding company Adp of the SNF Jun 1, 2024
Organization, Lincolnwood, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 2%
Mark Hartman Individual Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 5.5%
Kristina Herrera Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Berger Fam TR Ua 06252014 Organization, Chicago, IL Owned by another organization or individual Indirect Ownership Interest Jun 1, 2024 10%
Nicole Jablonski Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Indirect Ownership Interest Jun 1, 2024 1.11%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1326895053",
    "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": "2775 VILLAGE PT",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040099",
            "telephone_number": "219-304-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT CHESTERTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "833-944-6483"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.