CC Palo Alto LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550000146 Issued in CA

Legal business name

CC PALO ALTO LLC

Doing business as

Vi at Palo Alto

Practice address

600 Sand Hill Rd
Palo Alto, CA 94304-2002

Phone

(650) 853-5085

Fax

(650) 853-5112

NPI assigned

Jun 6, 2006

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 1

• Vi at Palo Alto Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295774172. Details of each certification follow.

• CCN 555835 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555835

Legal name

CC PALO ALTO LLC

Doing business as

VI AT PALO ALTO

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Sep 7, 2006

Last certification

Aug 23, 2024

Beds

44

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Classic Residence by Hyatt dba Vi Living

Organization structure

CorporationProprietary

Enrollment address

600 Sand Hill Rd
Palo Alto, CA 94304-2630

Nursing home name

VI AT PALO ALTO

Affiliated entity

VI LIVING

Listed as

VI at Palo AltoCCN 555835 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Sep 7, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4435.7 residents per day on average

Chain

VI Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

CC Palo Alto LLC2 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.

• CC Palo Alto LLC

  dba Vi at Palo Alto

  • Assisted Living Facility
  • Palo Alto, CA
  • NPI 1447710785
  NPD tax ID

All disclosed owners & managing parties 120

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.

• Yusra Nazar Hussain, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Palo Alto, CA
  • NPI 1003951013

  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.

• CCW la Jolla, LLC

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

  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 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
• 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 13

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

• Salwan Abiezzi, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1427163393

  Nursing home

  Care Compare affiliation
• John Boggs, M.D.

  • Infectious Disease Physician
  • Palo Alto, CA
  • NPI 1982719480

  Nursing home

  Care Compare affiliation
• Peter Cheng, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Palo Alto, CA
  • NPI 1073629564

  Nursing home

  Care Compare affiliation
• Jeffrey Craig Croke, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1588730618

  Nursing home

  Care Compare affiliation
• Yusra Nazar Hussain, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Palo Alto, CA
  • NPI 1003951013

  Nursing home

  Care Compare affiliation
• Teresa Nauenberg, MD

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1407963382

  Nursing home

  Care Compare affiliation
• Minerva Catalan Navarro, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Mountain View, CA
  • NPI 1942210695

  Nursing home

  Care Compare affiliation
• Thien-Nhan Nguyen, FNP-C

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1679244008

  Nursing home

  Care Compare affiliation
• Christina Rose Pagano, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Menlo Park, CA
  • NPI 1982859427

  Nursing home

  Care Compare affiliation
• Kathryn K Renschler, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1982754842

  Nursing home

  Care Compare affiliation
• Pauline Siao, MD

  • Family Medicine Physician
  • San Carlos, CA
  • NPI 1740356716

  Nursing home

  Care Compare affiliation
• Henry Thai, MD

  • Public Health & General Preventive Medicine Physician
  • Palo Alto, CA
  • NPI 1720195621

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1295774172",
    "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": "600 SAND HILL RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042002",
            "telephone_number": "650-853-5085",
            "fax_number": "650-853-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PALO ALTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "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": "CA",
            "license": "550000146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vi at Palo Alto",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vi at Palo Alto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Cavaligos
• Maud Cavaye, PSYD
• Darrell Cave
• Philip Benjamin Cawkwell, MD
• Rizza Manuel Cayabyab, RN
• CC Palo Alto LLC (Vi at Palo Alto)
• Sara Ceglio
• Cell-Ed
• Adem Halid Cemerlic
• Jennifer Nadine Cendak, L.C.S.W.

• Skilled Nursing Facility in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Skilled Nursing Facility in California

• 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.