GO GO INC NPI 1790772689

NPI Information

  • NPI: 1790772689
  • Provider Name: GO GO INC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Doing Business As: TRUMAN W. SMITH CHILDRENS CARE CENTER
  • CLIA Number: 45D2189104
  • Address: 2200 W UPSHUR AVE
    GLADEWATER, TX
    ZIP 75647
  • Phone: (903) 845-2181

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NPI Details

GO GO INC is a nursing care and pediatric skilled nursing facility in Gladewater, TX. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. GO GO INC NPI is 1790772689. The provider is registered as an organization entity type.
The provider Is Doing Business As Truman W. Smith Childrens Care Center.

The provider's business location address is:

2200 W UPSHUR AVE
GLADEWATER, TX
ZIP 75647-328
Phone: (903) 845-2181
Fax: (903) 845-3704

The provider's authorized official is Mary T. Minor .
The authorized official title is Mds/care Plan Coordinator and has the following contact phone number (903) 845-2181.

The CLIA number assigned to this NPI record is 45D2189104 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricTEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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