412 S 30Th St Llc

LBN: 412 S 30Th St Llc
412 S 30Th St Llc is an health care organization with primary practice located at 412 S 30Th St , Mesa AZ 85204-3111. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. 412 S 30Th St Llc can be contacted via phone (480) 584-5666, or through Zimmerman, Chaim via phone (480) 584-5666.

Contact Information

Primary practice address
412 S 30Th St Mesa AZ 85204-3111
Phone: (480) 584-5666
Fax: (480) 588-5460
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, Chaim
Phone: (480) 584-5666

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1821874934
LBN Legal business name 412 S 30Th St Llc
DBA Doing business as
Authorized official Zimmerman, Chaim
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2023
Last updated Sep 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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