Organization Active NPI

Ignite Medical Resort Norman, LLC

  • Skilled Nursing Facility
  • Norman, OK
National Provider Identifier
1689204943
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IGNITE MEDICAL RESORT NORMAN, LLC
Practice address
1050 Rambling Oaks Dr
Norman, OK 73072-4195
Phone
(405) 292-2273
NPI assigned
Jan 24, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tim Fields
Title
Ceo
Phone
(833) 944-6483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1050 Rambling Oaks Dr
Norman, OK 73072-4195

Mailing address

1550 N Northwest Hwy Ste 430
Park Ridge, IL 60068-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615002284 OK Part A Provider - Skilled Nursing Facility 4284056508 Practice locations: Norman, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689204943. Details of each certification follow.

Skilled nursing facility certification: CCN 375461

Legal name
IGNITE MEDICAL RESORT NORMAN, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 23, 2004
Last certification
Aug 15, 2024
Beds
52
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sabra Management
Organization structure
LLCProprietary
Incorporated
Dec 10, 2019 in OK
Enrollment address
1050 Rambling Oaks Dr
Norman, OK 73072-4195
Nursing home name
IGNITE MEDICAL RESORT NORMAN, LLC
Affiliated entity
IGNITE MEDICAL RESORTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ignite Medical Resort Norman, LLCCCN 375461 · 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
Ownership
For profit - Limited Liability company
Certified
Jun 23, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5238.8 residents per day on average
Chain
Ignite Medical Resorts22 facilities in the chain
Penalties (3 years)
1Fines totaling $16,660

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2085650Ignite Medical Resort - Norman1050 Rambling Oaks Dr, Norman, OK 73072Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 8.34%
Ignite Oklahoma JV, LLC Organization, Park Ridge, IL Created for acquisition, LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Mar 1, 2020 50%
John T McFarlane Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 1%
Sabra Health Care Reit Inc Organization, Tustin, CA Corporation Adp of the SNF Jan 1, 2020
Paul L Plusquellec Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Jim White Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 1%
Organization, Park Ridge, IL LLC Adp of the SNF Jul 18, 2025
Todd a Stern Individual Managing Control - Governing BodyInvestor Mar 1, 2020
Barry Carr Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 16%
Operational/Managerial Control Mar 1, 2020
Managing Control - Governing BodyManager Mar 1, 2020
Adp of the SNF Mar 1, 2020
Luxe Staffing LLC Organization, Park Ridge, IL LLC, Medical staffing company, For-profit Adp of the SNF Jan 4, 2021
Rachel Shearer Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 1%
Jared Carr Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Indirect Ownership Interest Jan 1, 2025 3%
Marc L Rose Individual Operational/Managerial Control Mar 20, 2020
Adp of the SNF Mar 20, 2020
Indirect Ownership Interest Mar 20, 2020 1%
Benjamin Israel Individual Managing Control - Governing BodyManager Mar 1, 2020
Gold Pearl, LLC Organization, Park Ridge, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Jan 3, 2022 4%
Spark Therapy LLC Organization, Park Ridge, IL LLC, Medical staffing company Operational/Managerial Control Mar 1, 2020
Adp of the SNF Jun 25, 2025
Organization, Johnsburg, IL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 1%
Prestige Worldwide Oklahoma, LLC Organization, Park Ridge, IL LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 10%
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 8.33%
Meaghan Skelton Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Indirect Ownership Interest Jan 1, 2022 1%
Ryan Gobst Individual Indirect Ownership Interest Mar 1, 2020 2%
Ignite Team Partners LLC Organization, Park Ridge, IL LLC, Management services company, Consulting firm, For-profit Operational/Managerial Control Mar 1, 2020
Adp of the SNF Jun 25, 2025
Blue Pearl Financial LLC Organization, Park Ridge, IL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 16%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 16.66%
Menachem Berger Individual Managing Control - Governing BodyInvestor Mar 1, 2020
Ignite Post Acute Solutions LLC Organization, Park Ridge, IL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2020 20%
Ignite-Villa Holdco LLC Organization, Park Ridge, IL LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Mar 1, 2020 50%
Chelsey Rolf Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 1%
Timothy Fields Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 20%
Operational/Managerial ControlChief Executive Officer Mar 1, 2020 100%
Managing Control - Governing BodyManager Mar 1, 2020
Adp of the SNF Mar 1, 2020
Mathew Thengil Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 1%
Revel L Castillo-Simon Individual Indirect Ownership Interest Jan 1, 2023 1%
Berger Fam TR Ua 06252014 Organization, Chicago, IL Indirect Ownership Interest Mar 1, 2020 16.67%
Nicole Jablonski Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 1%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1689204943",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RAMBLING OAKS DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724195",
            "telephone_number": "405-292-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT NORMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIM",
        "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": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.