Goforth Residential Services Llc

LBN: Goforth Residential Services Llc
Goforth Residential Services Llc is an health care organization with primary practice located at 2413 Prophetstown Rd , Avon IN 46123-5921. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Goforth Residential Services Llc can be contacted via phone (518) 269-8299, or through Sinzinkayo, Jeanne via phone (518) 269-8299.

Contact Information

Primary practice address
2413 Prophetstown Rd Avon IN 46123-5921
Phone: (518) 269-8299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sinzinkayo, Jeanne
Phone: (518) 269-8299

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1447004262
LBN Legal business name Goforth Residential Services Llc
DBA Doing business as
Authorized official Sinzinkayo, Jeanne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2024
Last updated Apr 16th, 2024 - 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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