Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ignite Medical Resort Okc, LLC

Organization Skilled Nursing Facility · NPI 1316577679

Ignite Medical Resort Okc, LLC is a Skilled Nursing Facility in Oklahoma City, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6312 N Portland Ave
Oklahoma City, OK 73112-1463
Phone: (405) 946-6932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1316577679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaret Glazer — Attorney · (847) 324-7993
NPI enumeratedJanuary 24, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address1550 N Northwest Hwy Ste 430, Park Ridge, IL 60068-1411

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