412 Home LLC
Organization Active NPI Assisted Living Facility · Mesa, AZ
NPI 1245016344 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1245016344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 412 HOME LLC
- Practice address
- 412 S 30TH St
Mesa, AZ 85204-3111 - Phone
- (480) 584-5666
- Fax
- (480) 588-5460
- NPI assigned
- Sep 5, 2023
- Organization subpart
- No
Authorized official
- Name
- Chaim Zimmerman
- Title
- Manager
- Phone
- (480) 985-9695
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
412 S 30TH St
Mesa, AZ 85204-3111
Mailing address
412 S 30TH St
Mesa, AZ 85204-3111
Phone (480) 584-5666
Other names
- Jones Family Care Home
Other providers in Mesa, AZ
- 255 West Brown Road Operations LLC
- 360 Physical Therapy LLC
- 360 Physical Therapy LLC
- 365 Breakthrough LLC
- 4 The Love of Self
- 412 S 30TH St LLC
- 48Hrlabs.Com, LLC
- 5233 Medical Group, LLC
- 605 S 30TH Circle LLC
- 7Steps BHS
All providers in Mesa, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.