412 S 30TH ST LLC
NPI 1821874934
Assisted Living Facility in Mesa, AZ

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 02, 2026.

About 412 S 30th St Llc NPPES

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

412 S 30TH ST LLC (NPI 1821874934) 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

NPI1821874934
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name412 S 30TH ST LLC
Location Address412 S 30TH STMesa, AZ 85204-3111
Mailing Address412 S 30th StMesa, AZ 85204-3111 · (480) 584-5666 · Fax (480) 588-5460
Fax(480) 588-5460
Organization SubpartNo
Authorized OfficialChaim ZimmermanManager · (480) 584-5666
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
NPI 1821874934 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

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.

Assisted Living Facility
412 S 30TH ST
MESA, AZ 85204
Assisted Living Facility
412 S 30TH ST
MESA, AZ 85204
Assisted Living Facility
412 S 30TH ST
MESA, AZ 85204

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 S 30th St LLC's NPI number?

The NPI number for 412 S 30th St LLC is 1821874934. It was assigned to this organization in the NPPES registry on September 5, 2023.

Where is 412 S 30th St LLC located?

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

What is 412 S 30th St 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 S 30th St 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.