Ignite Medical Resort Katy LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IGNITE MEDICAL RESORT KATY LLC

Practice address

1222 Park West Green Dr
Katy, TX 77493-3654

Phone

(346) 762-6300

NPI assigned

Mar 22, 2024

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

(847) 453-4000

Specialties & licenses 1

Addresses

Tax ID family

Ignite Medical Resort Katy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ignite Medical Resort Katy LLC

  • Rehabilitation Clinic/Center
  • Katy, TX
  • NPI 1437961273
  NPD tax ID
• Ignite Medical Resort Katy LLC

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1841930575
  NPD tax ID

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1669222808",
    "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": "1222 PARK WEST GREEN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933654",
            "telephone_number": "346-762-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT KATY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-453-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olutobi Idowu, BCBA
• Benedict Ifedi, M.D.
• Ifocus Vision LLC
• Vivian Igboalisi
• Ignite Medical Resort Katy LLC
• Ignite Medical Resort Katy LLC
• Ihealth Clinics Inc
• Ihealth Diagnostics Inc
• Ihealth Imaging Inc
• Ihealth Practitioners Inc

• Assisted Living Facility in Katy, TX
• Providers in Katy, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.