CG-DSA, LLC
NPI 1215960075
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Indianapolis, IN

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

The NPI number for Cg-Dsa, LLC is 1215960075. It was assigned to this organization in the NPPES registry on July 7, 2006.

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

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Cg-Dsa, LLC was last updated on August 13, 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 July 07, 2006

9520 GEMINI DRIVE, INDIANAPOLIS, IN 46229(317) 477-0093(317) 348-3430 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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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 1215960075) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Indianapolis, Indiana and active in the NPI registry since July 2006. The organization lists Anna Todd, Operations Business Manager, as its authorized official.

NPPES Registry Identity

NPI1215960075

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCG-DSA, LLC

Location Address9520 GEMINI DRIVEIndianapolis, IN 46229-1220

Mailing Address4800 Overton Plaza, Suite 440Fort Worth, TX 76109-4435 · (800) 299-5161 · Fax (317) 462-1250

Phone(317) 477-0093

Fax(317) 348-3430

Organization SubpartNo

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

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1215960075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

9520 GEMINI DRIVE, Indianapolis, IN 46229

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Other Identifiers 1

Medicaid100244960CIN

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 1215960075. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Cg-Dsa, LLC located?

Cg-Dsa, LLC is located at 9520 Gemini Drive, Indianapolis, IN 46229. The listed phone number is (317) 477-0093.

What is Cg-Dsa, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Cg-Dsa, LLC was last updated on August 13, 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.