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412 S 30th St LLC

Assisted Living Facility in Mesa, AZ · enumerated 2023 · authorized official Chaim Zimmerman, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821874934

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Registry record

Entity type Organization (Type 2)
Legal business name 412 S 30th St LLC
Practice address 412 S 30th St, Mesa, AZ, 85204
Phone (480) 584-5666
Fax (480) 588-5460
Enumeration date Sep 5, 2023
Last updated in NPPES Sep 5, 2023

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Chaim Zimmerman
Title Manager
Phone (480) 584-5666

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is 412 S 30th St LLC?
412 S 30th St LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-05.