Organization
CC-AVENTURA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMEK J KOSZYLKO (COUNSEL)
(312) 803-8443
Entity
Organization
Contact information
Practice address
19333 W COUNTRY CLUB DR, AVENTURA, FL 33180-2485
(305) 692-4700
(305) 692-4706
Mailing address
233 S WACKER DR STE 8400, CHICAGO, IL 60606-6316
(312) 803-8800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2812350140080
FOLIO
FL
Enumeration date
06/06/2006
Last updated
10/24/2025
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