MEDICARE: GO GIVER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376G00000X	Nursing Home Administrator

General Provider Information

NPI Number	:	1174264618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO GIVER INC.

Provider Business Mailing Address
First Line	:	3237 S UNIVERSITY DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2239
Country	:	US
Telephone Number	:	817-420-9373
Fax Number	:

Provider Business Practice Location Address
First Line	:	3237 S UNIVERSITY DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2239
Country	:	US
Telephone Number	:	817-420-9373
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. MATTHEW LOFTIS
Credential	:	MBA
Telephone Number	:	817-500-3091

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	04/06/2022

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Directions to “GO GIVER INC. ” Practice Location

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