GOFORTH RESIDENTIAL SERVICES LLC
NPI 1447004262
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avon, IN

Active since April 16, 2024
2413 PROPHETSTOWN RD, AVON, IN 46123(518) 269-8299 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Goforth Residential Services Llc NPPES

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

GOFORTH RESIDENTIAL SERVICES LLC (NPI 1447004262) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Avon, Indiana and active in the NPI registry since April 2024. The organization lists Jeanne Sinzinkayo, Manager, as its authorized official.

NPPES Registry Identity

NPI1447004262
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGOFORTH RESIDENTIAL SERVICES LLC
Location Address2413 PROPHETSTOWN RDAvon, IN 46123-5921
Mailing Address2413 Prophetstown RdAvon, IN 46123-5921
Organization SubpartNo
Authorized OfficialJeanne SinzinkayoManager · (518) 269-8299
Enumeration DateApril 16, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1447004262 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.
2413 PROPHETSTOWN RD, Avon, IN 46123

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 Goforth Residential Services LLC's NPI number?

The NPI number for Goforth Residential Services LLC is 1447004262. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is Goforth Residential Services LLC located?

Goforth Residential Services LLC is located at 2413 Prophetstown Rd, Avon, IN 46123. The listed phone number is (518) 269-8299.

What is Goforth Residential Services 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 Goforth Residential Services LLC was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.