Ignite Medical Resort Overland Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL RESORT OVERLAND PARK LLC

Practice address

11901 Rosewood St
Overland Park, KS 66209-3533

Phone

(913) 345-1745

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By 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

(630) 327-2951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831936939. Details of each certification follow.

• CCN 175183 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 175183

Legal name

IGNITE MEDICAL RESORT OVERLAND PARK LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 20, 1989

Last certification

Jul 17, 2024

Beds

102

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Ascension Living

Organization structure

LLCProprietary

Enrollment address

11901 Rosewood St
Overland Park, KS 66209-3533

Nursing home name

IGNITE MEDICAL RESORT OVERLAND PARK LLC

Affiliated entity

IGNITE MEDICAL RESORTS

Listed as

Ignite Medical Resort Overland Park LLCCCN 175183 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 20, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10299.5 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Penalties (3 years)

2Fines totaling $6,942

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 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.

• Melissa Ann Middlemas, D.O.

  • Hospitalist Physician
  • Overland Park, KS
  • NPI 1598929945

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 22

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

• 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

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Bartlesville, LLC

  • Skilled Nursing Facility
  • Bartlesville, OK
  • NPI 1023648383

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Carondelet, LLC

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1649808577

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Chesterton LLC

  • Skilled Nursing Facility
  • Chesterton, IN
  • NPI 1326895053

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Crown Point, LLC

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1801672977

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Dyer, LLC

  • Skilled Nursing Facility
  • Dyer, IN
  • NPI 1427834597

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort El Paso, LLC

  • Skilled Nursing Facility
  • El Paso, TX
  • NPI 1083434336

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Fort Worth, LLC

  • Skilled Nursing Facility
  • Fort Worth, TX
  • NPI 1659031268

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Independence LLC

  dba Ignite Medical Resort Blue Springs

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

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Kansas City LLC

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1790263440

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Katy LLC

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1841930575

  Ignite Team Partners LLC

  CMS ownership

Practitioners 4

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.

• David D Edalati, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1477669141
  NPD (past)
• Melissa Ann Middlemas, D.O.

  • Hospitalist Physician
  • Overland Park, KS
  • NPI 1598929945
  NPD (past)
• Benjamin Scott Reine, D.O.

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1922373935
  NPD (past)
• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305
  NPD (past)

Affiliated clinicians 4

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

• David D Edalati, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1477669141

  Nursing home

  Care Compare affiliation
• Melissa Ann Middlemas, D.O.

  • Hospitalist Physician
  • Overland Park, KS
  • NPI 1598929945

  Nursing home

  Care Compare affiliation
• Chunmei Xie

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1205278306

  Nursing home

  Care Compare affiliation
• Janet Eileen Morgan, M.D.

  • Family Medicine Physician
  • Independence, MO
  • NPI 1063403525

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1831936939",
    "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": "11901 ROSEWOOD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093533",
            "telephone_number": "913-345-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT OVERLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-327-2951"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.