CC PDR SCOTTSDALE LLC
NPI 1891255139
Assisted Living Facility in Scottsdale, AZ

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

Active since March 22, 2019

7501 E THOMPSON PEAK PKWY, SCOTTSDALE, AZ 85255(480) 659-5100 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2026, Mar 22, 2019 (2 updates tracked since 2019).

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility

About CC PDR SCOTTSDALE LLC

This page provides the complete NPI Profile along with additional information for Cc Pdr Scottsdale Llc, a provider established in Scottsdale, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1891255139 assigned on March 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Tomek J Koszylko (Counsel)

NPI: 1891255139 Verify this NPI
Provider Name: CC PDR SCOTTSDALE LLC
Entity Type: Organization
Location Address: 7501 E THOMPSON PEAK PKWY SCOTTSDALE, AZ 85255
Location Phone: (480) 659-5100
Mailing Address: 233 S WACKER DR STE 8400 CHICAGO, IL 60606
Mailing Phone: (312) 803-8800
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-22-2019
Last Update Date: 06-01-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Assisted Living Facility
Taxonomy Code: 310400000X
Type: Nursing & Custodial Care Facilities
Taxonomy Description: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: TOMEK J KOSZYLKO
Authorized Official Title: COUNSEL
Authorized Official Phone: (312) 803-8443