Ignite Medical Resort Kansas City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT KANSAS CITY LLC

Practice address

2100 NW Barry Rd
Kansas City, MO 64154-1000

Phone

(816) 521-6610

NPI assigned

Aug 4, 2018

Last updated

Dec 6, 2018By 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

(315) 218-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1790263440. Details of each certification follow.

• CCN 265872 Skilled nursing facility · Active · Details
• CCN 266684 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Skilled nursing facility certification: CCN 265872

Legal name

IGNITE MEDICAL RESORT KANSAS CITY LLC

Doing business as

IGNITE MEDICAL RESORT KANSAS CITY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 9, 2018

Last certification

Oct 3, 2024

Beds

90

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

2100 NW Barry Rd
Kansas City, MO 64154-1000

Nursing home name

IGNITE MEDICAL RESORT KANSAS CITY, LLC

Affiliated entity

IGNITE MEDICAL RESORTS

Outpatient physical therapy / speech pathology certification: CCN 266684

Legal name

IGNITE MEDICAL RESORT KANSAS CITY, LLC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Nov 18, 2019

Last certification

Nov 18, 2019

Ownership / control type

Proprietary

Facility address

2100 NW Barry Road
Kansas City, MO 64154

Listed as

Ignite Medical Resort Kansas City, LLCCCN 265872 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 9, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9085.7 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Penalties (3 years)

1Fines totaling $6,368

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 40

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.

• Dennis R Drews, MD

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1972614519

  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, Spark Therapy LLC, Stern Family Investment TR

  CMS ownership
• 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, 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, 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, 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.

• Dennis R Drews, MD

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

Affiliated clinicians 1

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

• Dennis R Drews, MD

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1972614519

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1790263440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541000",
            "telephone_number": "816-521-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541000",
            "telephone_number": "816-521-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-04",
        "last_updated": "2018-12-06",
        "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": "315-218-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Idleburg, D.C.
• Phyllis Idun
• Grace Aina Ighedosa
• Emily Michelle Iglar, PHARMD, BCPS
• Ignite Medical Resort Carondelet, LLC
• Nadia Igram
• Ihper Mo Corp
• Mackenzie Ikemire
• Lucy Belie Ikona, RPH
• Christelle Marlyse Ilboudo, M.D.

• 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 Dec 6, 2018; 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.