412 S 30th St LLC
412 S 30th St LLC is a healthcare organization registered as Assisted Living Facility in Mesa, AZ, holding Type 2 (organization) NPI 1821874934 since 2023. The authorized official on file is Chaim Zimmerman, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821874934 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 412 S 30th St 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 | 4805845666 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: 412 S 30th St LLC NPI: 1821874934 Taxonomy: 310400000X (Assisted Living Facility) Address: 412 S 30TH ST, Mesa, AZ, 85204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245016344 | 412 Home 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 1821874934 against the authoritative CMS record: view 412 S 30th St 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
What is a Type 2 NPI?
What type of organization is 412 S 30th St LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-05.