CC Hilton Head LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CC HILTON HEAD LLC

Doing business as

Broad Creek Care Center Assisted Living

Practice address

801 Lemon Grass CT
Hilton Head Island, SC 29928-3022

Phone

(843) 341-7200

NPI assigned

Mar 22, 2019

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

• Broad Creek Care Center Assisted Living Doing business as

Tax ID family

Broad Creek 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.

• CC Hilton Head LLC

  dba Broad Creek Care Center

  • Skilled Nursing Facility
  • Hilton Head Island, SC
  • NPI 1578553871
  NPD tax ID

Locations

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1528528841",
    "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": "801 LEMON GRASS CT",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283022",
            "telephone_number": "843-341-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC HILTON HEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad Creek Care Center Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davis Michael Cass
• Kimsey Collins Cass, DPT
• Daniel Lucien Cassidy Jr.
• Amber Dawn Caswell, MD
• Alyssa Paige Cathers, SLP
• CC Hilton Head LLC (Broad Creek Care Center)
• Center for Healing and Restorative Therapy
• Cep America - Anesthesia PC
• Cep America LLC
• Richard J. Chalson, M.D.

• Assisted Living Facility in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Assisted Living Facility in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.