Organization · Type 2 NPI

CC PDR Scottsdale LLC

Skilled Nursing Facility · Scottsdale, AZ

NPI number 1235334541 Active

Practice location

7501 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4525

Call (480) 361-3200 Map

Fax (480) 659-5110

Mailing address

233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NCI-2616 (AZ)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

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NPI record

NPI: 1235334541
Entity type: Organization (Type 2)
Issued: Jun 18, 2007
Last updated: Jun 1, 2026
Status: Active

Other names

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Vi at Grayhawk, A Vi and Plaza Companies Community · doing business as
Vi at Grayhawk, A Vi and Plaza Companies Community · doing business as

Authorized official

Tomek J Koszylko
Counsel
(312) 803-8443

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235334541

CC PDR Scottsdale LLC's National Provider Identifier is 1235334541, issued on Jun 18, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Scottsdale, AZ. The record was last updated on Jun 1, 2026.