NPIMap

Organization Active NPI

CC Denver LLC

Doing business as Vi at Highlands Ranch Skilled Nursing

  • Skilled Nursing Facility
  • Highlands Ranch, CO
National Provider Identifier
1962635037
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 DENVER LLC
Doing business as
Vi at Highlands Ranch Skilled Nursing
Practice address
9085 Ranch River Cir
Highlands Ranch, CO 80126-5094
Phone
(720) 348-7900
NPI assigned
Aug 24, 2009
Last updated
Jun 1, 2026By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

9085 Ranch River Cir
Highlands Ranch, CO 80126-5094

Mailing address

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

Other names 1

  • Vi at Highlands Ranch Skilled Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000667 CO Part A Provider - Skilled Nursing Facility 7416093257 Practice locations: Highlands Ranch, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962635037. Details of each certification follow.

Skilled nursing facility certification: CCN 065398

Legal name
CC-DENVER, INC.
Doing business as
VI AT HIGHLANDS RANCH SKILLED NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 1, 2010
Last certification
Sep 19, 2024
Beds
24
Ownership / control type
Corporation
Multi-facility organization
Classic Residence Mgmt Limited Partner
Organization structure
CorporationProprietary
Incorporated
Dec 11, 2002 in DE
Enrollment address
9085 Ranch River Cir
Highlands Ranch, CO 80126-5094
Nursing home name
VI AT HIGHLANDS RANCH SKILLED NURSING
Affiliated entity
VI LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
VI at Highlands Ranch Skilled NursingCCN 065398 · All quality measures
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
Feb 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2432.0 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 Denver 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.

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
Joachim Andersen Individual Operational/Managerial Control Sep 4, 2013
Adp of the SNF Sep 4, 2013
Benjamin Hoover Individual Operational/Managerial Control Oct 23, 2024
Adp of the SNF Oct 23, 2024
P. G. - Don #3 Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Thomas J Muszynski Individual Corporate OfficerVP, Treasurer, Asst Secretary Jun 1, 2022
Corporate Director Jun 1, 2022
CC-Development Group, Inc. Organization, Chicago, IL Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 25, 2009 100%
Direct Ownership Interest Sep 25, 2009 100%
P. G. - Daniel Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
John Poorman Individual Corporate OfficerExecutive Chairman Sep 25, 2009
Corporate Director Sep 25, 2009
P. G. - Jim Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Lisa Nolan Individual Operational/Managerial Control Jun 30, 2014
Adp of the SNF Jun 30, 2014
Tomek Koszylko Individual Operational/Managerial Control Oct 15, 2018
Adp of the SNF Oct 15, 2018
Tara Cope Individual Corporate OfficerVP, Secretary Jun 30, 2018
Leslie B Eber Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
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%
Melissa G Evraets Individual Operational/Managerial Control Aug 31, 2020
Adp of the SNF Aug 31, 2020
Individual Adp of the SNF Feb 1, 2024
P. G. - Karen Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
P. G. - Johnny Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Organization, Frisco, TX Medical provider/supplier Adp of the SNF Jul 16, 2025
Gary Smith Individual Corporate OfficerPresident Jun 1, 2022
Corporate Director Jan 1, 2012
Individual Adp of the SNF Jul 1, 2019
Classic Residence Management Limited Partnership Organization, Chicago, IL Operational/Managerial Control Sep 25, 2009
Adp of the SNF Jul 16, 2025
Organization, Jacksonville, FL Financial institution Adp of the SNF Jul 16, 2025
P. G. - Tony Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2012 5.42%
Organization, Chicago, IL Adp of the SNF Jul 16, 2025
Individual Adp of the SNF Mar 3, 2025

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 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 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
  • 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
  • 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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1962635037",
    "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": "9085 RANCH RIVER CIR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265094",
            "telephone_number": "720-348-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vi at Highlands Ranch Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vi at Highlands Ranch Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.