Organization Active NPI

Go Enterprises, Inc.

  • Nursing Facility Supplies (DME)
  • Kent, WA
National Provider Identifier
1134311129
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
GO ENTERPRISES, INC.
Doing business as
dba Incontinent Solutions North
Practice address
26044 119TH Dr SE
Kent, WA 98030-8405
Phone
(253) 859-8493
Fax
(253) 859-8493
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Chris R. Otterson
Title
President
Phone
(253) 859-8493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X WA Primary

Addresses

Primary practice location

26044 119TH Dr SE
Kent, WA 98030-8405

Mailing address

26044 119TH Dr SE
Kent, WA 98030-8405
Phone (253) 859-8493

Other identifiers 1

IdentifierTypeStateIssuer
9054503MedicaidWA

Other names 1

  • dba Incontinent Solutions North Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1134311129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26044 119TH DR SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308405",
            "telephone_number": "253-859-8493",
            "fax_number": "253-859-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26044 119TH DR SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308405",
            "telephone_number": "253-859-8493",
            "fax_number": "253-859-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "OTTERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-859-8493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054503",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Incontinent Solutions North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.