412 HOME LLC
NPI 1245016344
Assisted Living Facility in Mesa, AZ

Q: What is 412 Home LLC's NPI number?

The NPI number for 412 Home LLC is 1245016344. It was assigned to this organization in the NPPES registry on September 5, 2023. The provider is doing business as Jones Family Care Home.

Q: What is 412 Home LLC'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 412 Home LLC was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 05, 2023

412 S 30TH ST, MESA, AZ 85204(480) 584-5666(480) 588-5460 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About 412 Home Llc NPPES

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

412 HOME LLC (NPI 1245016344), doing business as Jones Family Care Home, is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since September 2023. The organization lists Chaim Zimmerman, Manager, as its authorized official.

NPPES Registry Identity

NPI1245016344

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business Name412 HOME LLC

Location Address412 S 30TH STMesa, AZ 85204-3111

Mailing Address412 S 30th StMesa, AZ 85204-3111 · (480) 584-5666 · Fax (480) 588-5460

Phone(480) 584-5666

Fax(480) 588-5460

Organization SubpartNo

Authorized OfficialChaim ZimmermanManager · (480) 985-9695

Enumeration DateSeptember 5, 2023

NPPES CertifiedSeptember 5, 2023

✔ NPI 1245016344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

412 S 30TH ST, Mesa, AZ 85204

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Other Names 1

Doing Business AsJones Family Care Home

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONES FAMILY CARE HOME INC

Assisted Living Facility

412 S 30TH ST
MESA, AZ 85204

Maricopa County (480) 584-5666

PLEDGE SENIOR HOUSING LLC

Assisted Living Facility

412 S 30TH ST
MESA, AZ 85204

Maricopa County (480) 522-9775

412 S 30TH ST LLC

Assisted Living Facility

412 S 30TH ST
MESA, AZ 85204

Maricopa County (480) 584-5666

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 412 Home LLC's NPI number?

The NPI number for 412 Home LLC is 1245016344. It was assigned to this organization in the NPPES registry on September 5, 2023. The provider is doing business as Jones Family Care Home.

Where is 412 Home LLC located?

412 Home LLC is located at 412 S 30th St, Mesa, AZ 85204. The listed phone number is (480) 584-5666.

What is 412 Home LLC'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 412 Home LLC was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.