THIRD STREET HOME
NPI 1154511202
Assisted Living Facility in Mesa, AZ

Q: What is Third Street Home's NPI number?

The NPI number for Third Street Home is 1154511202. It was assigned to this organization in the NPPES registry on July 25, 2007.

Q: What is Third Street Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Third Street Home was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2007

1053 E 3RD ST, MESA, AZ 85203(480) 610-6974(480) 610-6974 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Third Street Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIRD STREET HOME (NPI 1154511202) is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since July 2007. The organization lists Amalia Simona Bondar, Manager, as its authorized official.

NPPES Registry Identity

NPI1154511202

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHIRD STREET HOME

Location Address1053 E 3RD STMesa, AZ 85203-8001

Mailing Address1053 E 3rd StMesa, AZ 85203-8001 · (480) 610-6974 · Fax (480) 610-6974

Phone(480) 610-6974

Fax(480) 610-6974

Organization SubpartNo

Authorized OfficialAmalia Simona BondarManager · (480) 610-6974

Enumeration DateJuly 25, 2007

✔ NPI 1154511202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AZ · ALH-4846

Definition

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.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License ALH-4846 (AZ)

1053 E 3RD ST, Mesa, AZ 85203

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Other Identifiers 1

Medicare PIN854051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Third Street Home's NPI number?

The NPI number for Third Street Home is 1154511202. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Third Street Home located?

Third Street Home is located at 1053 E 3rd St, Mesa, AZ 85203. The listed phone number is (480) 610-6974.

What is Third Street Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Third Street Home was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.