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NPI Code Detail

MEDICARE: IGNITE MEDICAL RESORT WEST HOUSTON LLC

MEDICARE: IGNITE MEDICAL RESORT WEST HOUSTON LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1801740360
Entity Type Code : Organization
Provider Name (Legal Business Name) : IGNITE MEDICAL RESORT WEST HOUSTON LLC
Provider Business Mailing Address
First Line : 1550 N NORTHWEST HWY STE 430
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1461
Country : US
Telephone Number : 847-453-4000
Fax Number : 847-453-4000
Provider Business Practice Location Address
First Line : 8550 WOODWAY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77063-2482
Country : US
Telephone Number : 847-453-4000
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIMOTHY FIELDS
Credential :
Telephone Number : 847-453-4000
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/24/2026

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Directions to “IGNITE MEDICAL RESORT WEST HOUSTON LLC ” Practice Location

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