CC PDR Scottsdale LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CC PDR SCOTTSDALE LLC

Doing business as

Vi at Grayhawk

Practice address

7501 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4525

Phone

(480) 659-5100

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

• Vi at Grayhawk Doing business as

Tax ID family

CC PDR Scottsdale 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 PDR Scottsdale LLC

  dba Vi at Grayhawk, a Vi and Plaza Companies Community

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1235334541
  NPD tax ID

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": "1891255139",
    "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": "7501 E THOMPSON PEAK PKWY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554525",
            "telephone_number": "480-659-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PDR SCOTTSDALE 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": "Vi at Grayhawk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Stephen Cavender, DDS
• 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 Silverstone L L C (Vi at Silverstone)
• CC PDR Silverstone L L C (Vi at Silverstone)
• CCC Karakey LLC (Claibourne Counseling)
• CDC Group Inc
• Kevin Brian Cebrynski, DDS

• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Assisted Living 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.