# CC HILTON HEAD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Broad Creek Care Center Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528528841
- **Authorized official:** TOMEK J KOSZYLKO (COUNSEL)
- **Authorized official phone:** (312) 803-8443

## Contact information

- **Practice address:** 801 LEMON GRASS CT, HILTON HEAD ISLAND, SC 29928-3022
- **Practice address phone:** (843) 341-7200
- **Mailing address:** 233 S WACKER DR STE 8400, CHICAGO, IL 60606-6316
- **Mailing address phone:** (312) 803-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 06/01/2026