Ignite Medical Resort Katy LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

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 30, 2022

Last updated

Sep 24, 2026By 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

Manager

Phone

(847) 453-4000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841930575. Details of each certification follow.

• CCN 676454 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676454

Legal name

IGNITE MEDICAL RESORT KATY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Sep 13, 2018

Last certification

May 8, 2025

Beds

70

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ignite Medical Resorts

Most recent change of ownership

Apr 1, 2024

Organization structure

LLCProprietary

Enrollment address

1222 Park West Green Drive
Katy, TX 77493-3654

Nursing home name

IGNITE MEDICAL RESORT KATY, LLC

Affiliated entity

IGNITE MEDICAL RESORTS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ignite Medical Resort Katy LLC

  • Rehabilitation Clinic/Center
  • Katy, TX
  • NPI 1437961273

  O20240703000144

  Same enrollment

Listed as

Ignite Medical Resort Katy, LLCCCN 676454 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Sep 13, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7063.0 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Penalties (3 years)

5Fines totaling $51,914

Processed by Care Compare on Aug 1, 2026.

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

  • Assisted Living Facility
  • Katy, TX
  • NPI 1669222808
  NPD tax ID

Locations

All disclosed owners & managing parties 31

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.

• Nida Fatema Ali, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1548555642

  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 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, Spark Therapy LLC

  CMS ownership
• Ignite Medical Resort Round Rock, LLC

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1710647326

  Ignite Team Partners LLC, Spark Therapy LLC

  CMS ownership
• Ignite Medical Resort San Antonio LLC

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1073273686

  Ignite Team Partners LLC, Spark Therapy LLC

  CMS ownership
• Ignite Medical Resort Sugar Land, LLC

  • Skilled Nursing Facility
  • Sugar Land, TX
  • NPI 1558150219

  Ignite Team Partners LLC

  CMS ownership
• Ignite Medical Resort Webster, LLC

  • Skilled Nursing Facility
  • Webster, TX
  • NPI 1437819000

  Ignite Team Partners LLC, Spark Therapy LLC

  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

  Ignite Team Partners LLC, Spark Therapy LLC

  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 Carondelet, LLC

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

  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
• Ignite Medical Resort Crown Point, LLC

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

  Ignite Team Partners LLC, Spark Therapy LLC

  CMS ownership

Affiliated clinicians 4

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

• Li Cai, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1902860612

  Nursing home

  Care Compare affiliation
• Olubunmi Omolewa Ogunwole, M.D

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1780979534

  Nursing home

  Care Compare affiliation
• Rabeea Zaki, MD, MBBS

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1821439431

  Nursing home

  Care Compare affiliation
• Reena Thomas, M.D.

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1366672834

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1841930575",
    "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": "2022-03-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "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": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Ihealth Urgent Care Inc

• Skilled Nursing Facility in Katy, TX
• Providers in Katy, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.