CG-DSA, LLC
NPI 1205401452
Intermediate Care Facility, Intellectual Disabilities in Lebanon, IN

Q: What is Cg-Dsa, LLC's NPI number?

The NPI number for Cg-Dsa, LLC is 1205401452. It was assigned to this organization in the NPPES registry on May 20, 2021.

Q: What is Cg-Dsa, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Cg-Dsa, LLC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2021

1275 MIDDLE JAMESTOWN RD, LEBANON, IN 46052(765) 361-1950 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cg-dsa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CG-DSA, LLC (NPI 1205401452) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lebanon, Indiana and active in the NPI registry since May 2021. The organization lists Anna Todd, Operations Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205401452

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameCG-DSA, LLC

Location Address1275 MIDDLE JAMESTOWN RDLebanon, IN 46052-9404

Mailing Address4800 Overton Plz Ste 440Fort Worth, TX 76109-4435 · (800) 299-5161

Phone(765) 361-1950

Organization SubpartYes

Authorized OfficialAnna ToddOperations Business Manager · (800) 299-5161

Enumeration DateMay 20, 2021

NPPES CertifiedMay 3, 2021

✔ NPI 1205401452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1275 MIDDLE JAMESTOWN RD, Lebanon, IN 46052

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cg-Dsa, LLC's NPI number?

The NPI number for Cg-Dsa, LLC is 1205401452. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Cg-Dsa, LLC located?

Cg-Dsa, LLC is located at 1275 Middle Jamestown Rd, Lebanon, IN 46052. The listed phone number is (765) 361-1950.

What is Cg-Dsa, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Cg-Dsa, LLC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.