Ignite Medical Resort Dyer, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT DYER, LLC

Practice address

1532 Calumet Ave
Dyer, IN 46311-1588

Phone

(219) 515-4700

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By 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

Manager

Phone

(833) 944-6483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427834597. Details of each certification follow.

• CCN 155840 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155840

Legal name

IGNITE MEDICAL RESORT DYER LLC

Doing business as

IGNITE MEDICAL RESORT DYER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Oct 6, 2015

Last certification

Apr 29, 2025

Beds

136 (100 certified)

Ownership / control type

Corporation

Multi-facility organization

Ignite Medical Resorts LLC

Most recent change of ownership

Nov 1, 2023

Organization structure

LLCProprietary

Enrollment address

1532 Calumet Ave
Dyer, IN 46311-1588

Nursing home name

IGNITE MEDICAL RESORT DYER LLC

Affiliated entity

IGNITE MEDICAL RESORTS

Listed as

Ignite Medical Resort Dyer LLCCCN 155840 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

For profit - Corporation

Certified

Oct 6, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

100101.5 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Penalties (3 years)

1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 42

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

Owners & managing parties with NPI records 1

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

• Alexander A Stemer, MD

  • Infectious Disease Physician
  • Munster, IN
  • NPI 1861451429

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 47

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

• Ignite Medical Resort Chesterton LLC

  • Skilled Nursing Facility
  • Chesterton, IN
  • NPI 1326895053

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Crown Point, LLC

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1801672977

  Ignite Team Partners LLC, Spark Therapy LLC

  CMS ownership
• Applewood Nursing Center Inc

  • Skilled Nursing Facility
  • Woodhaven, MI
  • NPI 1063586923

  Drake Louis Enterprise, LLC

  CMS ownership
• Avantara Park Ridge LLC

  dba Avantara Park Ridge

  • Skilled Nursing Facility
  • Park Ridge, IL
  • NPI 1427461292

  Berger Fam TR Ua 06252014

  CMS ownership
• Citadel at Casa Scalabrini LLC

  dba Citadel at Casa Scalabrini

  • Skilled Nursing Facility
  • Northlake, IL
  • NPI 1023859048

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel at Saint Benedict LLC

  dba Citadel at Saint Benedict

  • Skilled Nursing Facility
  • Niles, IL
  • NPI 1467293480

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel Care Center-Kankakee, LLC

  dba Citadel Care Center-Kankakee

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1649648833

  Berger Fam TR Ua 06252014, Israel Family Investment Trust, Israel Investment TR, Stern Family Investment TR

  CMS ownership
• Citadel Care Center-Wilmette, LLC

  dba Citadel Care Center-Wilmette

  • Skilled Nursing Facility
  • Wilmette, IL
  • NPI 1366810558

  Berger Fam TR Ua 06252014, Israel Family Investment Trust, Israel Investment TR, Stern Family Investment TR

  CMS ownership
• Citadel of Bourbonnais LLC

  dba The Citadel of Bourbonnais

  • Skilled Nursing Facility
  • Bourbonnais, IL
  • NPI 1710594353

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel of Glenview LLC

  dba The Citadel of Glenview

  • Skilled Nursing Facility
  • Glenview, IL
  • NPI 1902413537

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel of Skokie LLC

  dba The Citadel of Skokie

  • Skilled Nursing Facility
  • Skokie, IL
  • NPI 1093354078

  Stern Family Investment TR

  CMS ownership
• Cliffside Company L L C

  dba Coventry House Inn

  • Nursing Facility/Intermediate Care Facility
  • Saint Joseph, MI
  • NPI 1801962097

  Drake Louis Enterprise, LLC

  CMS ownership

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Soraj Arora, DO

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1871571208

  Nursing home

  Care Compare affiliation
• Bruna Carla Arrunategui-Rodriguez, MD

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1992979215

  Nursing home

  Care Compare affiliation
• Paula M. Benchik-Abrinko, M.D.

  • Internal Medicine Physician
  • Whiting, IN
  • NPI 1255389573

  Nursing home

  Care Compare affiliation
• Tamer Suhail Mustafa, DO

  • Family Medicine Physician
  • Munster, IN
  • NPI 1760045900

  Nursing home

  Care Compare affiliation
• Alexander A Stemer, MD

  • Infectious Disease Physician
  • Munster, IN
  • NPI 1861451429

  Nursing home

  Care Compare affiliation
• Ahmed Sharif

  • Hospitalist Physician
  • Carbondale, IL
  • NPI 1780034926

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1427834597",
    "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": "1532 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111588",
            "telephone_number": "219-515-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT DYER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "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": []
}

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• Jay S Hwang, M.D.
• Illiana Cardiovascular Consultants, LLC
• Illiana Endodontics, P.C.
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• Obinna Charles Iluba, CRNA
• Incare Home Healthcare, Inc.

• Skilled Nursing Facility in Dyer, IN
• Providers in Dyer, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.