Go Go Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

GO GO INC

Practice address

2200 W Upshur Ave
Gladewater, TX 75647-4328

Phone

(903) 845-2181

Fax

(903) 845-3704

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary T. Minor, LVN

Title

MDS/Care Plan Coordinator

Phone

(903) 845-2181

Specialties & licenses 1

Addresses

Other names 1

• Truman W. Smith Childrens Care Center Doing business as

Tax ID family

Go Go Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southland Villa Care Center

  • Nursing Facility/Intermediate Care Facility
  • Temple, TX
  • NPI 1093712432
  NPD tax ID

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790772689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756471468",
            "telephone_number": "903-845-2181",
            "fax_number": "903-845-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W UPSHUR AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756474328",
            "telephone_number": "903-845-2181",
            "fax_number": "903-845-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO GO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MDS/CARE PLAN COORDINATOR",
        "authorized_official_telephone_number": "903-845-2181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truman W. Smith Childrens Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Fenton
• Leslie Finnegan, MS, RD, LD, CNSC
• Jacey Michelle Fleet
• Cassandra Ford, APRN
• Gladewater County Line Isd
• Gregg County Shared Services Arrangement
• GS Physician Services
• Diamond Hardeman
• Nicole Hatfield
• Walter Mark Henry, DDS

• All providers in Gladewater, TX
• Pediatric Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.