CC PDR Silverstone L L C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2695 Issued in AZ

Legal business name

CC PDR SILVERSTONE L L C

Doing business as

Vi at Silverstone
Vi at Silverstone, a Vi and Plaza Companies Community

Practice address

22605 N 74TH St
Scottsdale, AZ 85255-7466

Phone

(480) 478-6200

Fax

(480) 478-6297

NPI assigned

Jan 10, 2011

Last updated

Jun 1, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 2

• Vi at Silverstone Doing business as
• Vi at Silverstone, a Vi and Plaza Companies Community Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093019770. Details of each certification follow.

• CCN 035281 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 035281

Legal name

CC PDR SILVERSTONE L L C

Doing business as

VI AT SILVERSTONE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jun 9, 2011

Last certification

Mar 13, 2025

Beds

24

Ownership / control type

Corporation

Multi-facility organization

Vi Senior Living

Organization structure

LLCProprietary

Incorporated

Aug 12, 2005 in AZ

Enrollment address

22605 N 74TH St
Scottsdale, AZ 85255-7462

Nursing home name

VI AT SILVERSTONE, A VI AND PLAZA COMPANIES COMMUN

Affiliated entity

VI LIVING

Listed as

VI at Silverstone, a VI and Plaza Companies CommunCCN 035281 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Corporation

Certified

Jun 9, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2419.9 residents per day on average

Chain

VI Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 118

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

Owners & managing parties with NPI records 1

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

• Luis L Gonzalez Jr., MD

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1639276520

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 9

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

• 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 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
• 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 Naples LLC

  dba Bentley Care Center

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1013954353

  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
• CCW la Jolla, LLC

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1972574507

  Classic Residence Management Limited Partnership

  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

Affiliated clinicians 9

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

• Jason David Buchwald, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1285675439

  Nursing home

  Care Compare affiliation
• Rebecca Ann Cook, M.D.

  • Internal Medicine Physician
  • Cave Creek, AZ
  • NPI 1417946393

  Nursing home

  Care Compare affiliation
• John Haynes Demenkoff, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295718419

  Nursing home

  Care Compare affiliation
• Jessica T Ellsworth, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1649235185

  Nursing home

  Care Compare affiliation
• Jay S Friedman, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1821163825

  Nursing home

  Care Compare affiliation
• Salma Jesmin, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1912115742

  Nursing home

  Care Compare affiliation
• Douglas M. Lakin, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1992783492

  Nursing home

  Care Compare affiliation
• Mahesh Mathews, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1356570568

  Nursing home

  Care Compare affiliation
• Brett Warden, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1962883827

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1093019770",
    "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": "22605 N 74TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557466",
            "telephone_number": "480-478-6200",
            "fax_number": "480-478-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PDR SILVERSTONE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "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": "AZ",
            "license": "NCI-2695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vi at Silverstone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vi at Silverstone, a Vi and Plaza Companies Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John N Caviness, M.D.
• CB Growth Mindset LLC (CB Growth Mindset)
• CBBL Entreprises LLC (BrightStar of Greater Scottsdale)
• CC PDR Scottsdale LLC (Vi at Grayhawk, a Vi and Plaza Companies Community)
• CC PDR Scottsdale LLC (Vi at Grayhawk)
• CC PDR Silverstone L L C (Vi at Silverstone)
• CCC Karakey LLC (Claibourne Counseling)
• CDC Group Inc
• Kevin Brian Cebrynski, DDS
• Jenna Whitney Cecil

• Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.