NPIMap

Organization Active NPI

CC Aventura LLC

  • Skilled Nursing Facility
  • Aventura, FL
National Provider Identifier
1255385274
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CC AVENTURA LLC
Practice address
19333 W Country Club Dr
Aventura, FL 33180-2485
Phone
(305) 692-4700
Fax
(305) 692-4706
NPI assigned
May 22, 2006
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 Primary

Addresses

Primary practice location

19333 W Country Club Dr
Aventura, FL 33180-2485

Mailing address

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

Other names 1

  • Vi at Aventura Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060530000084 FL Part A Provider - Skilled Nursing Facility 9335114990 Practice locations: Aventura, FL

Skilled nursing facility certification: CCN 106076

Legal name
CC-AVENTURA, INC.
Doing business as
VI AT AVENTURA
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 26, 2007
Last certification
May 2, 2024
Beds
40
Ownership / control type
Corporation
Multi-facility organization
Vi Senior Living
Organization structure
CorporationProprietary
Incorporated
Aug 18, 1997 in DE
Enrollment address
19333 W Country Club Dr
Aventura, FL 33180-2404
Nursing home name
VI AT AVENTURA
Affiliated entity
VI LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
VI at AventuraCCN 106076
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Apr 26, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4034.4 residents per day on average
Chain
VI Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
CC Aventura LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Individual Adp of the SNF Feb 1, 2024
Cary Maslow Individual Operational/Managerial Control Aug 1, 2019
Adp of the SNF Aug 1, 2019
Andrea Davis Individual Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
P. G. - Don #3 Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Individual Adp of the SNF Jul 1, 2019
Robert P Kostoroski Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
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 May 1, 2006 100%
P. G. - Daniel Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Individual Adp of the SNF Sep 1, 2010
Organization, Chicago, IL Adp of the SNF Sep 24, 2025
John Poorman Individual Corporate OfficerExecutive Chairman May 1, 2006
Corporate Director May 1, 2006
P. G. - Jim Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
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
Bridget Williams Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
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%
P. G. - Linda Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Pritzker Pucker Family Foundation No. 2 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 22, 2025 8.63%
Organization, Frisco, TX Medical provider/supplier Adp of the SNF Sep 24, 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
Adp of the SNF Jun 1, 2022
Classic Residence Management Limited Partnership Organization, Chicago, IL Operational/Managerial Control May 1, 2006
Adp of the SNF Sep 24, 2025
Martine Cesaire-Francois Individual Operational/Managerial Control Jul 21, 2025
Adp of the SNF Jul 21, 2025
Organization, Jacksonville, FL Financial institution Adp of the SNF Sep 24, 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 Naples LLC
    • 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
  • Meridian Park Village Limited Partnership
    • Skilled Nursing Facility
    • Lantana, FL
    • NPI 1568423234

    Classic Residence Management Limited Partnership

    CMS ownership
  • CC Denver LLC
    • 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
    • Skilled Nursing Facility
    • Hilton Head Island, SC
    • NPI 1578553871

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

    CMS ownership
  • CC Lake LLC
    • 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
    • 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
    • Skilled Nursing Facility
    • Scottsdale, AZ
    • NPI 1235334541

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

    CMS ownership
  • CC PDR Silverstone L L C
    • 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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1255385274",
    "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": "19333 W COUNTRY CLUB DR",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802485",
            "telephone_number": "305-692-4700",
            "fax_number": "305-692-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC AVENTURA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vi at Aventura",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vi at Aventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.