412 S 30TH ST LLC
NPI 1821874934
Assisted Living Facility in Mesa, AZ
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
Specialties & Licenses
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.
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.