Active NPI
CC Naples LLC
- Assisted Living Facility
- Naples, FL
National Provider Identifier
1992265292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CC NAPLES LLC
- Practice address
- 870 Classic CT
Naples, FL 34110-7050 - Phone
- (239) 431-2050
- NPI assigned
- Mar 22, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
870 Classic CT
Naples, FL 34110-7050
Mailing address
233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316
Phone (312) 803-8800
Other names 1
- Bentley Village
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0971884 | Bentley Village II | Certificate of waiver | Mar 22, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Bentley Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1013954353
Locations
850 Retreat Dr
Naples, FL 34110
Phone (888) 539-4842
NPI Registry JSON
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": "1992265292",
"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": "870 CLASSIC CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341107050",
"telephone_number": "239-431-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC NAPLES 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": "Bentley Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
Sources for this page
- 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 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.