Ignite Medical Hanover Park, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IGNITE MEDICAL HANOVER PARK, LLC

Practice address

2000 W Lake St
Hanover Park, IL 60133-4302

Phone

(630) 556-2000

NPI assigned

May 8, 2023

Last updated

Nov 6, 2023By 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

(833) 944-6483

Specialties & licenses 1

Addresses

Other names 1

• Ignite Medical Hanover Park, LLC Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932899689. Details of each certification follow.

• CCN 146143 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146143

Legal name

IGNITE MEDICAL HANOVER PARK, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 11, 2011

Last certification

Apr 4, 2025

Beds

150

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ignite Medical Resorts

Organization structure

LLCProprietary

Incorporated

Jan 27, 2023 in IL

Enrollment address

2000 W Lake St
Hanover Park, IL 60133-4302

Nursing home name

IGNITE MEDICAL HANOVER PARK

Affiliated entity

IGNITE MEDICAL RESORTS

Listed as

Ignite Medical Hanover ParkCCN 146143 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 11, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15099.6 residents per day on average

Chain

Ignite Medical Resorts22 facilities in the chain

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 33

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.

• Rajiv K Sood, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1699738351

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 40

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

• Avantara Park Ridge LLC

  dba Avantara Park Ridge

  • Skilled Nursing Facility
  • Park Ridge, IL
  • NPI 1427461292

  Berger Fam TR Ua 06252014

  CMS ownership
• Citadel at Casa Scalabrini LLC

  dba Citadel at Casa Scalabrini

  • Skilled Nursing Facility
  • Northlake, IL
  • NPI 1023859048

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel at Saint Benedict LLC

  dba Citadel at Saint Benedict

  • Skilled Nursing Facility
  • Niles, IL
  • NPI 1467293480

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel Care Center-Kankakee, LLC

  dba Citadel Care Center-Kankakee

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1649648833

  Berger Fam TR Ua 06252014, Israel Family Investment Trust, Israel Investment TR, Stern Family Investment TR

  CMS ownership
• Citadel Care Center-Wilmette, LLC

  dba Citadel Care Center-Wilmette

  • Skilled Nursing Facility
  • Wilmette, IL
  • NPI 1366810558

  Berger Fam TR Ua 06252014, Israel Family Investment Trust, Israel Investment TR, Stern Family Investment TR

  CMS ownership
• Citadel of Bourbonnais LLC

  dba The Citadel of Bourbonnais

  • Skilled Nursing Facility
  • Bourbonnais, IL
  • NPI 1710594353

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel of Glenview LLC

  dba The Citadel of Glenview

  • Skilled Nursing Facility
  • Glenview, IL
  • NPI 1902413537

  Israel Family Investment Trust, Israel Investment TR

  CMS ownership
• Citadel of Skokie LLC

  dba The Citadel of Skokie

  • Skilled Nursing Facility
  • Skokie, IL
  • NPI 1093354078

  Stern Family Investment TR

  CMS ownership
• Ignite Medical Batavia, LLC

  • Skilled Nursing Facility
  • Batavia, IL
  • NPI 1942197686

  Ignite Team Partners LLC

  CMS ownership
• Pavilion of Bridgeview LLC

  dba Pavilion of Bridgeview

  • Skilled Nursing Facility
  • Bridgeview, IL
  • NPI 1316685969

  Stern Family Investment TR

  CMS ownership
• Pavilion of Logan Square LLC

  dba Pavilion of Logan Square

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1588302137

  Stern Family Investment TR

  CMS ownership
• Pavilion of Ottawa LLC

  dba Pavilion of Ottawa

  • Skilled Nursing Facility
  • Ottawa, IL
  • NPI 1306584958

  Stern Family Investment TR

  CMS ownership

Practitioners 1

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.

• Rajiv K Sood, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1699738351
  NPD (past)

Affiliated clinicians 3

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

• Parag Kiran Amin, DO

  • Internal Medicine Physician
  • McHenry, IL
  • NPI 1639107667

  Nursing home

  Care Compare affiliation
• Rajiv K Sood, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1699738351

  Nursing home

  Care Compare affiliation
• M Nabil Yusuf Dada, MD

  • Family Medicine Physician
  • Flint, MI
  • NPI 1164862488

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1932899689",
    "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": "2000 W LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334302",
            "telephone_number": "630-556-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE MEDICAL HANOVER PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Medical Hanover Park, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Demerrill L Hill
• Michael Jan Holland, LCPC
• Elizabeth Renee Holmberg, RPH
• Home Sleep Solutions LLC
• Deborah Ann House
• Ivonne Jimenez
• Ketan Narandas Jobanputra, M.D.
• Teresa Joerger Davis, MS, CCC/SLP
• Steve B. Kalinowski, PTA
• Edwin Anthony Karch Jr., D.D.S.

• Skilled Nursing Facility in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.