FOREVER PLACE LLC
NPI 1356948954
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goodyear, AZ

Active since October 06, 2020
4200 N PEBBLE CREEK PKWY APT 2069, GOODYEAR, AZ 85395(567) 225-4008 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Forever Place Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOREVER PLACE LLC (NPI 1356948954) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Goodyear, Arizona and active in the NPI registry since October 2020. The organization lists Lachoniquie Evans, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1356948954
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFOREVER PLACE LLC
Location Address4200 N PEBBLE CREEK PKWY APT 2069Goodyear, AZ 85395-9028
Mailing Address4200 N Pebble Creek Pkwy Apt 2069Goodyear, AZ 85395-9028 · (567) 225-4008
Organization SubpartNo
Authorized OfficialLachoniquie EvansOwner/director · (567) 225-4008
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1356948954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4200 N PEBBLE CREEK PKWY APT 2069, Goodyear, AZ 85395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forever Place LLC's NPI number?

The NPI number for Forever Place LLC is 1356948954. It was assigned to this organization in the NPPES registry on October 6, 2020.

Where is Forever Place LLC located?

Forever Place LLC is located at 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ 85395. The listed phone number is (567) 225-4008.

What is Forever Place LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Forever Place LLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.