Organization Active NPI

Ignite Medical Resort Crown Point, LLC

  • Skilled Nursing Facility
  • Crown Point, IN
National Provider Identifier
1801672977
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IGNITE MEDICAL RESORT CROWN POINT, LLC
Practice address
1555 S Main St
Crown Point, IN 46307-0114
Phone
(219) 323-8700
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Timothy Fields
Title
Manager
Phone
(833) 944-6483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1555 S Main St
Crown Point, IN 46307-0114

Mailing address

1550 N Northwest Hwy Ste 430
Park Ridge, IL 60068-1461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214001352 IN Part A Provider - Skilled Nursing Facility 8325497480 Practice locations: Crown Point, IN

Skilled nursing facility certification: CCN 155835

Legal name
IGNITE MEDICAL RESORT CROWN POINT LLC
Doing business as
IGNITE MEDICAL RESORT CROWN POINT LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 13, 2015
Last certification
Jan 13, 2025
Beds
106 (70 certified)
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
1555 S Main St
Crown Point, IN 46307-0114
Nursing home name
IGNITE MEDICAL RESORT CROWN POINT LLC
Affiliated entity
IGNITE MEDICAL RESORTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ignite Medical Resort Crown Point LLCCCN 155835 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jul 13, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7070.1 residents per day on average
Chain
Ignite Medical Resorts22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1550 N Northwest Hwy
Ste 430
Park Ridge, IL 60068

Ownership & related parties

All disclosed owners & managing parties 41

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 Nov 1, 2023 5%
John T McFarlane Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Robert Petty Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Ignite-Villa in Holdco LLC Organization, Lincolnwood, IL Created for acquisition, LLC, Holding company Direct Ownership Interest Nov 1, 2023 50%
Jim White Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Organization, Lincolnwood, IL LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 1%
Individual Indirect Ownership Interest Nov 1, 2023 2%
Alexander a Stemer Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Barry Carr Individual Operational/Managerial Control Nov 1, 2023
Managing Control - Governing Body Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 16%
Luxe Staffing LLC Organization, Park Ridge, IL LLC, Medical staffing company, For-profit Adp of the SNF Nov 1, 2023
Shawna Rainey Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Aug 1, 2024 1%
Jared Carr Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Indirect Ownership Interest Jan 1, 2025 3%
Organization, Lincolnwood, IL LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 4%
Anc Indiana Opco LLC Organization, Lincolnwood, IL LLC, Holding company Indirect Ownership Interest Nov 1, 2023 20%
Marc L Rose Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Ignite Crown Point JV LLC Organization, Park Ridge, IL Created for acquisition, LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Nov 1, 2023 50%
Individual Adp of the SNF Dec 27, 2023
Benjamin Israel Individual Managing Control - Governing Body Nov 1, 2023
David Hartman Individual Indirect Ownership Interest Nov 1, 2023 7%
Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 3%
Spark Therapy LLC Organization, Park Ridge, IL LLC, Medical staffing company Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Organization, Tustin, CA Corporation Adp of the SNF Nov 1, 2023
Organization, Johnsburg, IL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 1%
Marnie Davisson Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 5%
Prestige Worldwide Crown Point LLC Organization, Park Ridge, IL LLC, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 10%
Karen Gillis Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Ryan Gobst Individual Indirect Ownership Interest Nov 1, 2023 2%
Ignite Team Partners LLC Organization, Park Ridge, IL LLC, Management services company, Consulting firm, For-profit Operational/Managerial Control Nov 1, 2023 100%
Adp of the SNF Nov 1, 2023
Blue Pearl Financial LLC Organization, Park Ridge, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 16%
Drake Louis Enterprise, LLC Organization, Lincolnwood, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 7%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 10%
Menachem Berger Individual Managing Control - Governing Body Nov 1, 2023
Ignite Post Acute Solutions LLC Organization, Park Ridge, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 20%
Gold Pearl, LLC Organization, Park Ridge, IL LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 4%
Timothy Fields Individual Operational/Managerial Control Nov 1, 2023
Managing Control - Governing BodyManager Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 20%
Mathew Thengil Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 1%
Mark Hartman Individual Indirect Ownership Interest Nov 1, 2023 4%
Organization, Lincolnwood, IL LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2023 4%
Berger Fam TR Ua 06252014 Organization, Lincolnwood, IL Indirect Ownership Interest Nov 1, 2023 10%
Nicole Jablonski Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Indirect Ownership Interest Nov 1, 2023 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

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": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1801672977",
    "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": "1555 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070114",
            "telephone_number": "219-323-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT CROWN POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "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 Crown Point, IN

Sources for this page

Verify at the official NPI Registry.