Ignite Medical Resort Carondelet, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT CARONDELET, LLC

Practice address

621 Carondelet Dr
Kansas City, MO 64114-4670

Phone

(816) 941-1300

NPI assigned

Mar 27, 2020

Last updated

Jan 29, 2021By 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

Ceo

Phone

(833) 944-6483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649808577. Details of each certification follow.

• CCN 265303 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265303

Legal name

IGNITE MEDICAL RESORT CARONDELET LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 10, 1986

Last certification

Feb 8, 2024

Beds

162

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ignite Medical Resorts LLC

Organization structure

LLCProprietary

Enrollment address

621 Carondelet Dr
Kansas City, MO 64114-4670

Nursing home name

IGNITE MEDICAL RESORT CARONDELET LLC

Affiliated entity

IGNITE MEDICAL RESORTS

Listed as

Ignite Medical Resort Carondelet LLCCCN 265303 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 10, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

162115.1 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 34

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.

• Christopher B Geha, M.D.

  • Internal Medicine Physician
  • Leawood, KS
  • NPI 1578556478

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 40

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

• Ignite Medical Resort Independence LLC

  dba Ignite Medical Resort Blue Springs

  • Skilled Nursing Facility
  • Blue Springs, MO
  • NPI 1609492719

  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, 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, Israel Family Investment Trust, Israel Investment TR, 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 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

Practitioners 5

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.

• Dennis R Drews, MD

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1972614519
  NPD (past)
• Maninder Pabla, MD

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1952360919
  NPD (past)
• Amit J Patel, M.D.

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1144414244
  NPD (past)
• Haseeb Abdul Ahmed, DO

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1972701571
  NPD (past)
• Louay K. Sabih, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1003800459
  NPD (past)

Affiliated clinicians 4

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

• Karl D Metzger, MD

  • Hospitalist Physician
  • Blue Springs, MO
  • NPI 1376862763

  Nursing home

  Care Compare affiliation
• Maninder Pabla, MD

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1952360919

  Nursing home

  Care Compare affiliation
• Amit J Patel, M.D.

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1144414244

  Nursing home

  Care Compare affiliation
• Haseeb Abdul Ahmed, DO

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1972701571

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1649808577",
    "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": "600681411",
            "telephone_number": "833-944-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144670",
            "telephone_number": "816-941-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT CARONDELET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "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": []
}

• Joanita Idicula
• Kimberly Idleburg, D.C.
• Phyllis Idun
• Grace Aina Ighedosa
• Emily Michelle Iglar, PHARMD, BCPS
• Ignite Medical Resort Kansas City LLC
• Nadia Igram
• Ihper Mo Corp
• Mackenzie Ikemire
• Lucy Belie Ikona, RPH

• Skilled Nursing Facility in Kansas City, MO
• Providers in Kansas City, 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 Jan 29, 2021; 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.