412 Home LLC
412 Home LLC is a healthcare organization registered as Assisted Living Facility in Mesa, AZ, holding Type 2 (organization) NPI 1245016344 since 2023. The authorized official on file is Chaim Zimmerman, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245016344 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 412 Home LLC |
| Practice address | 412 S 30TH ST, Mesa, AZ, 85204 |
| Phone | 4805845666 |
| Fax | 4805885460 |
| Enumeration date | 2023-09-05 |
| Last updated in NPPES | 2023-09-05 |
Authorized official
| Name | Chaim Zimmerman |
|---|---|
| Title | Manager |
| Phone | 4809859695 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: 412 Home LLC NPI: 1245016344 Taxonomy: 310400000X (Assisted Living Facility) Address: 412 S 30TH ST, Mesa, AZ, 85204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821874934 | 412 S 30th St LLC | Organization | Assisted Living Facility | Mesa, AZ |
| 1740066471 | Jones Family Care Home Inc | Organization | Assisted Living Facility | Mesa, AZ |
Verify this record
Cross-check NPI 1245016344 against the authoritative CMS record: view 412 Home LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is 412 Home LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-09-05.