Ignite Medical Resort Independence LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT INDEPENDENCE LLC

Doing business as

Ignite Medical Resort Blue Springs

Practice address

20511 E. Trinity PL.
Blue Springs, MO 64015

Phone

(816) 622-2900

NPI assigned

Jun 24, 2020

Last updated

Dec 15, 2020By 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

Barry Carr

Title

Chairman of the Board

Phone

(312) 218-2000

Specialties & licenses 1

Addresses

Other names 1

• Ignite Medical Resort Blue Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609492719. Details of each certification follow.

• CCN 265880 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265880

Legal name

IGNITE MEDICAL RESORT INDEPENDENCE LLC

Doing business as

IGNITE MEDICAL RESORT BLUE SPRINGS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 8, 2020

Last certification

Oct 10, 2024

Beds

90

Ownership / control type

Limited Liability Corporation

Multi-facility organization

IGNITE MEDICAL RESORTS

Organization structure

LLCProprietary

Enrollment address

20511 E Trinity PL
Blue Springs, MO 64015-9501

Nursing home name

IGNITE MEDICAL RESORT BLUE SPRINGS

Affiliated entity

IGNITE MEDICAL RESORTS

Listed as

Ignite Medical Resort Blue SpringsCCN 265880 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 8, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9087.0 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 38

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.

• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 32

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

• Ignite Medical Resort Carondelet, LLC

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1649808577

  Berger Fam TR Ua 06252014, Blue Pearl Financial LLC, Ignite Post Acute Solutions LLC, Ignite Team Partners LLC, Ignite-Villa Holdco LLC, Spark Therapy LLC, Stern Family Investment TR

  CMS ownership
• Ignite Medical Resort Kansas City LLC

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1790263440

  Berger Fam TR Ua 06252014, Blue Pearl Financial LLC, Hageman Family TR, Hageman Investments LLC, Ignite Post Acute Solutions LLC, Ignite Team Partners LLC, Spark Therapy LLC, Stern Family Investment TR

  CMS ownership
• Ignite Medical Resort St. Marys, LLC

  • Skilled Nursing Facility
  • Blue Springs, MO
  • NPI 1982232815

  Blue Pearl Financial LLC, Ignite Post Acute Solutions LLC, Ignite Team Partners LLC, Ignite-Villa Holdco LLC, Spark Therapy LLC, Stern Family Investment TR

  CMS ownership
• Ignite St Peters, LLC

  dba Ignite Medical Resort St Peters

  • Skilled Nursing Facility
  • Saint Peters, MO
  • NPI 1710870092

  Ignite Team Partners LLC, Spark Therapy 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 Care Center-Kankakee, LLC

  dba Citadel Care Center-Kankakee

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1649648833

  Berger Fam TR Ua 06252014, 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, Stern Family 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
• Ignite Medical Batavia, LLC

  • Skilled Nursing Facility
  • Batavia, IL
  • NPI 1942197686

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Hanover Park, LLC

  • Skilled Nursing Facility
  • Hanover Park, IL
  • NPI 1932899689

  Berger Fam TR Ua 06252014, Blue Pearl Financial LLC, Ignite Post Acute Solutions LLC, Ignite Team Partners LLC, Ignite-Villa Holdco LLC, Spark Therapy LLC, Stern Family Investment TR

  CMS ownership
• Ignite Medical Resort Bartlesville, LLC

  • Skilled Nursing Facility
  • Bartlesville, OK
  • NPI 1023648383

  Ignite Team Partners LLC, Spark Therapy LLC

  CMS ownership
• Ignite Medical Resort Chesterton LLC

  • Skilled Nursing Facility
  • Chesterton, IN
  • NPI 1326895053

  Ignite Team Partners LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305
  NPD (past)

Affiliated clinicians 1

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

• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1609492719",
    "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": "20511 E. TRINITY PL.",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-622-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "312-218-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Medical Resort Blue Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ignite Medical Resort Blue Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna C Hutchins, DPT
• The Hiep T Huynh, D.D.S.
• Jean Hwang
• Hy-Vee Inc (Hy-Vee Pharmacy (1033))
• Amanda Idell, OD
• Ignite Medical Resort St. Marys, LLC
• Igniting Hope Counseling Services
• Impact Medical Services LLC (Impact Medical)
• James B. Indiveri, D.M.D.
• Karen Ingram LMT, LMT

• Skilled Nursing Facility in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.