NPIMap

Organization Active NPI

Tco JV, LLC

  • Skilled Nursing Facility
  • McHenry, IL
National Provider Identifier
1932728003
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TCO JV, LLC
Practice address
550 Ridgeview Drive
McHenry, IL 60050
Phone
(815) 900-2500
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

550 Ridgeview Drive
McHenry, IL 60050

Mailing address

1550 N Northwest Hwy Ste 430
Park Ridge, IL 60068-1461
Phone (833) 944-6483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200820000028 IL Part A Provider - Skilled Nursing Facility 2961828066 Practice locations: McHenry, IL

Skilled nursing facility certification: CCN 146195

Legal name
TCO JV LLC
Doing business as
IGNITE MEDICAL MCHENRY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 23, 2020
Last certification
Aug 22, 2024
Beds
84
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
May 29, 2018 in IL
Enrollment address
550 Ridgeview Drive
McHenry, IL 60050-7010
Nursing home name
IGNITE MEDICAL MCHENRY
Affiliated entity
IGNITE MEDICAL RESORTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ignite Medical McHenryCCN 146195 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 23, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8481.8 residents per day on average
Chain
Ignite Medical Resorts22 facilities in the chain
Penalties (3 years)
1Fines totaling $62,153

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2203765Ignite Medical McHenry550 Ridgeview Drive, McHenry, IL 60050Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
LBG McHenry LLC Organization, Indianapolis, IN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 5.1%
McHenry Senior Investors LLC Organization, Indianapolis, IN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 10%
Ignite Team Partners LLC Organization, Park Ridge, IL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2020 100%
KCB Ignite McHenry LLC Organization, Wilmington, DE LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Thomas C Smith Individual Corporate OfficerManager/Authorized Official Oct 1, 2020
Corporate DirectorBoard Member Oct 1, 2020
Katie Smithberg Individual W-2 Managing EmployeeAdministrator Oct 1, 2020
KCB Real Estate VII LP Organization, Pasadena, CA For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 90%
Limited Partnership Interest Oct 1, 2020 90%

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1932728003",
    "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",
            "telephone_number": "833-944-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RIDGEVIEW DRIVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-900-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCO JV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "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 McHenry, IL

Sources for this page

Verify at the official NPI Registry.