Ignite Medical Resort El Paso, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

IGNITE MEDICAL RESORT EL PASO, LLC

Practice address

3421 Joe Battle Blvd
El Paso, TX 79936-2791

Phone

(915) 599-5500

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By 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

Consultant

Phone

(847) 453-4000

Specialties & licenses 1

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 1871305615. Details of each certification follow.

• CCN 676428 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676428

Legal name

IGNITE MEDICAL RESORT EL PASO, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 19, 2017

Last certification

Jun 6, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Limited Liability Corporation

Most recent change of ownership

Dec 1, 2024

Organization structure

LLCProprietary

Enrollment address

3421 Joe Battle Blvd
El Paso, TX 79936-2791

Nursing home name

IGNITE MEDICAL RESORT EL PASO, 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 El Paso, LLC

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

  O20250116000820

  Same enrollment

Listed as

Ignite Medical Resort El Paso, LLCCCN 676428 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 19, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6051.4 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

1Fines totaling $67,425

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Ignite Medical Resort El Paso LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ignite Medical Resort El Paso, LLC

  • Skilled Nursing Facility
  • El Paso, TX
  • NPI 1083434336
  NPD tax ID

Locations

All disclosed owners & managing parties 20

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 2

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

• Ignite Medical Resort El Paso, LLC

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

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Ezhil Panneerselvam, MD

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1235794546

  Adp of the SNF

  CMS ownership

Affiliated clinicians 4

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

• Vivek Choudhary, MD

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1427574813

  Nursing home

  Care Compare affiliation
• Ikedieze Igwe Chukwu, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1720285661

  Nursing home

  Care Compare affiliation
• Ezhil Panneerselvam, MD

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1235794546

  Nursing home

  Care Compare affiliation
• Ahmed Ali Memon

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1659831659

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1871305615",
    "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": "3421 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362791",
            "telephone_number": "915-599-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL RESORT EL PASO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "847-453-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeoma Egbuonu, MD, PLLC (Diabetes and Endocrinology Specialists of El Paso)
• Araceli M. Iglesias, M.S. CCC,SLP
• Leticia Maria Iglesias, L.M.T.
• Norma Iglesias
• Ignite Medical Resort El Paso, LLC
• Terris Chidindu Igwe, DO
• IHS Acquisition No 131 Inc (Horizon Healthcare Center at El Paso)
• IHS Acquisition No 171 Inc (Mesa Hills Specialty Hospital)
• IHS at Hanover House Inc (Mountain View Healthcare Center)
• Chika Anthonia Ikeakor

• Rehabilitation Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.