Active NPI
Ignite Medical Resort Chesterton LLC
- Skilled Nursing Facility
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Chesterton
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Individual
- Certified
- Mar 9, 2016
- Medicare certification status
- Active
- Certified beds
- 70
- Chain
- Ignite Medical Resorts
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Israel Family Investment Trust | Indirect Ownership Interest | Jun 1, 2024 | 5% |
| Adp of the SNF | Jun 1, 2024 | ||
| John T McFarlane | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 1.11% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 4% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Ignite-Villa in Holdco LLC | Indirect Ownership Interest | Jun 1, 2024 | 50% |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 3% | |
| Lashonda Robinson | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 2% | |
| Jim White | 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 | Indirect Ownership Interest | Jun 1, 2024 | 10% |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 1.5% | |
| Todd a Stern | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 10% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 1.11% | |
| Alexander a Stemer | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Barry Carr | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 16.56% | |
| Yehudis E Israel | Indirect Ownership Interest | Jun 1, 2024 | 5% |
| Aviva Berger | Indirect Ownership Interest | Jun 1, 2024 | 5% |
| Shawna Rainey | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Indirect Ownership Interest | Aug 1, 2024 | 1.11% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Jared Carr | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 2% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Anc Indiana Opco LLC | Indirect Ownership Interest | Jun 1, 2024 | 20% |
| Adp of the SNF | Jun 1, 2024 | ||
| Marc L Rose | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 1.11% | |
| Nirmala Murugavel | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Benjamin Israel | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 5% | |
| David Hartman | Adp of the SNF | Jun 1, 2024 | |
| Indirect Ownership Interest | Jun 1, 2024 | 9% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Marnie Davisson | 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 | Direct Ownership Interest | Jun 1, 2024 | 100% |
| Israel Investment TR | Indirect Ownership Interest | Jun 1, 2024 | 5% |
| Karen Gillis | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 1.11% | |
| Ryan Gobst | Indirect Ownership Interest | Jun 1, 2024 | 2% |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 4% | |
| Ignite Team Partners LLC | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Blue Pearl Financial LLC | Indirect Ownership Interest | Jun 1, 2024 | 16% |
| Drake Louis Enterprise, LLC | Adp of the SNF | Jun 1, 2024 | |
| Indirect Ownership Interest | Jun 1, 2024 | 7% | |
| Stern Family Investment TR | Indirect Ownership Interest | Jun 1, 2024 | 10% |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 2% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Menachem Berger | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 10% | |
| Ignite Post Acute Solutions LLC | Indirect Ownership Interest | Jun 1, 2024 | 20% |
| Gold Pearl, LLC | Indirect Ownership Interest | Jun 1, 2024 | 4% |
| Ignite Chesterton JV LLC | Indirect Ownership Interest | Jun 1, 2024 | 50% |
| Adp of the SNF | Jun 1, 2024 | ||
| Timothy Fields | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 20.56% | |
| Mathew Thengil | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Direct Ownership Interest | Jun 1, 2024 | 1.11% | |
| Adp of the SNF | Jun 1, 2024 | ||
| Indirect Ownership Interest | Jun 1, 2024 | 2% | |
| Mark Hartman | Adp of the SNF | Jun 1, 2024 | |
| Indirect Ownership Interest | Jun 1, 2024 | 5.5% | |
| Kristina Herrera | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Berger Fam TR Ua 06252014 | Indirect Ownership Interest | Jun 1, 2024 | 10% |
| Nicole Jablonski | 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.
-
- Hospitalist Physician
- Michigan City, IN
- NPI 1558363887
Adp of the SNF, Operational/Managerial Control
-
- Infectious Disease Physician
- Munster, IN
- NPI 1861451429
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Crown Point, IN
- NPI 1801672977
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Dyer, IN
- NPI 1427834597
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Batavia, IL
- NPI 1942197686
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Hanover Park, IL
- NPI 1932899689
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Bartlesville, OK
- NPI 1023648383
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Kansas City, MO
- NPI 1649808577
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- El Paso, TX
- NPI 1083434336
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Fort Worth, TX
- NPI 1659031268
Ignite Team Partners LLC
-
dba Ignite Medical Resort Blue Springs
- Skilled Nursing Facility
- Blue Springs, MO
- NPI 1609492719
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Kansas City, MO
- NPI 1790263440
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Katy, TX
- NPI 1841930575
Ignite Team Partners LLC
-
- Skilled Nursing Facility
- Norman, OK
- NPI 1689204943
Ignite Team Partners LLC
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1073507422
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.