Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

412 Home LLC

Organization Assisted Living Facility · NPI 1245016344

412 Home LLC is an Assisted Living Facility in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 S 30th St
Mesa, AZ 85204-3111
Phone: (480) 584-5666
Fax: (480) 588-5460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1245016344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chaim Zimmerman — Manager · (480) 985-9695
Other names Jones Family Care Home
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address412 S 30th St, Mesa, AZ 85204-3111

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