# IGNITE MEDICAL RESORT ROUND ROCK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710647326
- **Authorized official:** TIMOTHY FIELDS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (630) 327-2951

## Contact information

- **Practice address:** 16219 RANCH ROAD 620 N, AUSTIN, TX 78717-5209
- **Practice address phone:** (512) 520-1834
- **Mailing address:** 1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 02/24/2026