IGNITE MEDICAL RESORT TULSA, LLC
NPI 1891507620
Skilled Nursing Facility in Tulsa, OK

Active since January 20, 2025CLIA 37D2211723 · Waiver
8720 S 101ST EAST AVE, TULSA, OK 74133(918) 965-0101 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ignite Medical Resort Tulsa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IGNITE MEDICAL RESORT TULSA, LLC (NPI 1891507620) is a healthcare organization registered as a skilled nursing facility in Tulsa, Oklahoma and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Timothy Fields, Manager, as its authorized official.

NPPES Registry Identity

NPI1891507620
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameIGNITE MEDICAL RESORT TULSA, LLC
Location Address8720 S 101ST EAST AVETulsa, OK 74133-5840
Mailing Address1550 N Northwest Hwy Ste 430Park Ridge, IL 60068-1461 · (847) 453-4000
Organization SubpartNo
Authorized OfficialTimothy FieldsManager · (630) 327-2951
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1891507620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
8720 S 101ST EAST AVE, Tulsa, OK 74133

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2211723

Ignite Medical Resort Tulsa, LLC · Tulsa, OK
Active · expires Jan 28, 2027
CLIA Number37D2211723
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorRevel Castillo-Simon
Laboratory Phone(918) 965-0101
Laboratory LocationIgnite Medical Resort Tulsa, LLC8720 S 101st East Ave, Tulsa, OK 74133
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
8720 S 101ST EAST AVE
TULSA, OK 74133
Occupational Therapy Assistant
8720 S 101ST EAST AVE
TULSA, OK 74133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ignite Medical Resort Tulsa, LLC's NPI number?

The NPI number for Ignite Medical Resort Tulsa, LLC is 1891507620. It was assigned to this organization in the NPPES registry on January 20, 2025.

Where is Ignite Medical Resort Tulsa, LLC located?

Ignite Medical Resort Tulsa, LLC is located at 8720 S 101st East Ave, Tulsa, OK 74133. The listed phone number is (918) 965-0101.

What is Ignite Medical Resort Tulsa, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ignite Medical Resort Tulsa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2211723) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ignite Medical Resort Tulsa, LLC accept?

Health plans from UnitedHealthcare list Ignite Medical Resort Tulsa, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ignite Medical Resort Tulsa, LLC was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.