NPIMap

Organization Active NPI

CC Naples LLC

Doing business as Bentley Care Center

  • Skilled Nursing Facility
  • Naples, FL
National Provider Identifier
1013954353
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1050095 Issued in FL
Legal business name
CC NAPLES LLC
Doing business as
Bentley Care Center
Practice address
875 Retreat Dr
Naples, FL 34110-7927
Phone
(239) 431-2100
Fax
(239) 431-2199
NPI assigned
Jun 2, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tomek J Koszylko
Title
Counsel
Phone
(312) 803-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1050095 FL Primary

Addresses

Primary practice location

875 Retreat Dr
Naples, FL 34110-7927

Mailing address

233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316
Phone (312) 803-8800

Other names 1

  • Bentley Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001350 FL Part A Provider - Skilled Nursing Facility 9234109885 Practice locations: Naples, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013954353. Details of each certification follow.

Skilled nursing facility certification: CCN 106062

Legal name
CC-NAPLES INC
Doing business as
BENTLEY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 2, 2004
Last certification
Nov 21, 2024
Beds
84
Ownership / control type
Corporation
Multi-facility organization
ViLiving
Organization structure
CorporationProprietary
Enrollment address
875 Retreat Dr
Naples, FL 34110-7927
Nursing home name
BENTLEY CARE CENTER
Affiliated entity
VI LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bentley Care CenterCCN 106062 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Dec 2, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8475.3 residents per day on average
Chain
VI Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0873969Bentley Care Center875 Retreat Drive, Naples, FL 34110Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bentley Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 Retreat Dr
Naples, FL 34110
Phone (888) 539-4842

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cary Maslow Individual Operational/Managerial Control Aug 1, 2019
Adp of the SNF Aug 1, 2019
P. G. - Don #3 Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Thomas J Muszynski Individual Corporate OfficerVP, Treasurer, Asst Secretary Jun 1, 2022
Corporate Director Jun 1, 2022
Adp of the SNF Jun 1, 2022
CC-Development Group, Inc. Organization, Chicago, IL Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 11, 1990 100%
P. G. - Daniel Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Penny Smith Individual Operational/Managerial Control Aug 1, 2016
Adp of the SNF Aug 1, 2016
Pamela Allison Individual Operational/Managerial Control Jul 21, 2025
Adp of the SNF Jul 21, 2025
John Poorman Individual Corporate OfficerExecutive Chairman Jul 29, 2004
Corporate Director Jul 29, 2004
P. G. - Jim Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Frank Michael Elterman Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Tomek Koszylko Individual Operational/Managerial Control Oct 15, 2018
Adp of the SNF Oct 15, 2018
Tara Cope Individual Corporate OfficerVP, Secretary Jun 1, 2018
Adp of the SNF Jun 1, 2018
Bridget Williams Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
Individual Adp of the SNF Feb 1, 2024
P. G. - Nicholas Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.99%
Margot and Tom Pritzker Foundation Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 22, 2025 10.24%
Organization, Frisco, TX Medical provider/supplier Adp of the SNF Oct 18, 2025
P. G. - Linda Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Individual Adp of the SNF Feb 1, 2023
Pritzker Pucker Family Foundation No. 2 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 22, 2025 8.63%
Organization, Jacksonville, FL Financial institution Adp of the SNF Oct 18, 2025
Melissa G Evraets Individual Operational/Managerial Control Aug 31, 2020
Adp of the SNF Aug 31, 2020
P. G. - Karen Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 8.82%
P. G. - Johnny Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Gary Smith Individual Corporate OfficerPresident Jun 1, 2022
Corporate Director Jan 1, 2012
Classic Residence Management Limited Partnership Organization, Chicago, IL Operational/Managerial Control Dec 11, 1990
Adp of the SNF Oct 18, 2025
Individual Adp of the SNF Jul 1, 2019
Tina Conzelman Individual Operational/Managerial Control Jun 9, 2025
Adp of the SNF Jun 9, 2025
Organization, Chicago, IL Adp of the SNF Oct 18, 2025
P. G. - Tony Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

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

  • CC Aventura LLC

    dba Vi at Aventura

    • Skilled Nursing Facility
    • Aventura, FL
    • NPI 1255385274

    CC-Development Group, Inc., Classic Residence Management Limited Partnership, Margot and Tom Pritzker Foundation, P. G. - Daniel Trust, P. G. - Don #3 Trust, P. G. - Jim Trust, P. G. - Johnny Trust, P. G. - Karen Trust, P. G. - Linda Trust, P. G.

    CMS ownership
  • Meridian Park Village Limited Partnership

    dba Vi at Lakeside Village

    • Skilled Nursing Facility
    • Lantana, FL
    • NPI 1568423234

    Classic Residence Management Limited Partnership

    CMS ownership
  • CC Denver LLC

    dba Vi at Highlands Ranch Skilled Nursing

    • Skilled Nursing Facility
    • Highlands Ranch, CO
    • NPI 1962635037

    CC-Development Group, Inc., Classic Residence Management Limited Partnership, Margot and Tom Pritzker Foundation, P. G. - Daniel Trust, P. G. - Don #3 Trust, P. G. - Jim Trust, P. G. - Johnny Trust, P. G. - Karen Trust, P. G. - Linda Trust, P. G.

    CMS ownership
  • CC Hilton Head LLC

    dba Broad Creek Care Center

    • Skilled Nursing Facility
    • Hilton Head Island, SC
    • NPI 1578553871

    CC-Development Group, Inc., Classic Residence Management Limited Partnership

    CMS ownership
  • CC Lake LLC

    dba Vi at The Glen

    • Skilled Nursing Facility
    • Glenview, IL
    • NPI 1649220906

    CC-Development Group, Inc., Classic Residence Management Limited Partnership, Margot and Tom Pritzker Foundation, P. G. - Daniel Trust, P. G. - Don #3 Trust, P. G. - Jim Trust, P. G. - Johnny Trust, P. G. - Karen Trust, P. G. - Linda Trust, P. G.

    CMS ownership
  • CC Palo Alto LLC

    dba Vi at Palo Alto

    • Skilled Nursing Facility
    • Palo Alto, CA
    • NPI 1295774172

    CC-Development Group, Inc., Classic Residence Management Limited Partnership, Margot and Tom Pritzker Foundation, P. G. - Daniel Trust, P. G. - Don #3 Trust, P. G. - Jim Trust, P. G. - Johnny Trust, P. G. - Karen Trust, P. G. - Linda Trust, P. G.

    CMS ownership
  • CC PDR Scottsdale LLC

    dba Vi at Grayhawk, a Vi and Plaza Companies Community

    • Skilled Nursing Facility
    • Scottsdale, AZ
    • NPI 1235334541

    CC-Development Group, Inc., Classic Residence Management Limited Partnership

    CMS ownership
  • CC PDR Silverstone L L C

    dba Vi at Silverstone

    • Skilled Nursing Facility
    • Scottsdale, AZ
    • NPI 1093019770

    CC-Development Group, Inc., Classic Residence Management Limited Partnership, Margot and Tom Pritzker Foundation, P. G. - Daniel Trust, P. G. - Don #3 Trust, P. G. - Jim Trust, P. G. - Johnny Trust, P. G. - Karen Trust, P. G. - Linda Trust, P. G.

    CMS ownership
  • CCW la Jolla, LLC
    • Skilled Nursing Facility
    • San Diego, CA
    • NPI 1972574507

    Classic Residence Management Limited Partnership

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1013954353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S WACKER DR STE 8400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066316",
            "telephone_number": "312-803-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 RETREAT DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341107927",
            "telephone_number": "239-431-2100",
            "fax_number": "239-431-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "KOSZYLKO",
        "authorized_official_first_name": "TOMEK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "312-803-8443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1050095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentley Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bentley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.