OrganizationActive
412 S 30th St LLC
NPI 1821874934 · Assisted Living Facility · Mesa, AZ
412 S 30th St LLC is a Assisted Living Facility organization in Mesa, AZ (NPI 1821874934).
Provider details
- NPI number
- 1821874934
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Chaim Zimmerman, Manager(480) 584-5666
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
412 S 30th St
Mesa, AZ 85204-3111
Phone: (480) 584-5666
Fax: (480) 588-5460
Street-level locationGet directions
Mailing address
412 S 30th St
Mesa, AZ 85204-3111
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Frequently asked questions
- What is 412 S 30th St LLC's NPI number?
- 412 S 30th St LLC's National Provider Identifier (NPI) is 1821874934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 412 S 30th St LLC?
- 412 S 30th St LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 412 S 30th St LLC located?
- 412 S 30th St LLC's practice location on file with NPPES is 412 S 30th St, Mesa, AZ 85204-3111.
- What is 412 S 30th St LLC's phone number?
- The practice phone number listed in the NPPES registry for 412 S 30th St LLC is (480) 584-5666.
- Who is the authorized official for 412 S 30th St LLC?
- The authorized official listed on 412 S 30th St LLC's NPPES record is Chaim Zimmerman, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 412 S 30th St LLC's NPI active?
- Yes — 412 S 30th St LLC's NPI (1821874934) is active in the NPPES registry as of the last update on 2023-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.