CG-Dsa, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CG-DSA, LLC

Practice address

12110 Beckley Rd
Indianapolis, IN 46229-3204

Phone

(317) 477-0093

Fax

(317) 348-3430

NPI assigned

Jul 7, 2006

Organization subpart

No

Name

Anna Todd

Title

Operations Business Manager

Phone

(800) 299-5161

Tax ID family

CG-Dsa LLC41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • New Palestine, IN
  • NPI 1013590561
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Lebanon, IN
  • NPI 1013590579
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Crawfordsville, IN
  • NPI 1023683273
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Anderson, IN
  • NPI 1083297527
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Shelbyville, IN
  • NPI 1114592367
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Anderson, IN
  • NPI 1144250333
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Crawfordsville, IN
  • NPI 1154340396
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1194308635
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Lebanon, IN
  • NPI 1205401452
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
  • NPI 1215960075
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1225611767
  NPD tax ID
• CG-Dsa, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Anderson, IN
  • NPI 1235169491
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1124051982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLAZA",
            "address_2": "SUITE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "800-299-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BECKLEY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293204",
            "telephone_number": "317-477-0093",
            "fax_number": "317-348-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG-DSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OPERATIONS BUSINESS MANAGER",
        "authorized_official_telephone_number": "800-299-5161"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244470C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• CG-Dsa, LLC
• CG-Dsa, LLC
• CG-Dsa, LLC
• CG-Dsa, LLC
• CG-Dsa, LLC

• All providers in Indianapolis, IN
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.