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

912 N. Parkway Drive
Anderson, IN 46013-3249

Phone

(756) 649-4247

Fax

(765) 642-8512

NPI assigned

Jul 4, 2006

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Todd

Title

Operations Business Manager

Phone

(800) 299-5161

Specialties & licenses 1

Addresses

Other identifiers 1

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
  • Indianapolis, IN
  • NPI 1124051982
  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

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1235169491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLAZA",
            "address_2": "SUITE 440",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "800-299-5161",
            "fax_number": "317-462-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N. PARKWAY DRIVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460133249",
            "telephone_number": "756-649-4247",
            "fax_number": "765-642-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG-DSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244490B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anderson, IN
• Providers in Anderson, IN by specialty
• 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 13, 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.