CG-DSA, LLC
NPI 1235169491
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anderson, IN

Active since July 04, 2006
912 N. PARKWAY DRIVE, ANDERSON, IN 46013(756) 649-4247(765) 642-8512 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Cg-dsa, Llc NPPES

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

CG-DSA, LLC (NPI 1235169491) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Anderson, 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

NPI1235169491
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCG-DSA, LLC
Location Address912 N. PARKWAY DRIVEAnderson, IN 46013-3249
Mailing Address4800 Overton Plaza, Suite 440Fort Worth, TX 76109-4435 · (800) 299-5161 · Fax (317) 462-1250
Fax(765) 642-8512
Organization SubpartNo
Authorized OfficialAnna ToddOperations Business Manager · (800) 299-5161
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
NPI 1235169491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

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

912 N. PARKWAY DRIVE, Anderson, IN 46013

Other Identifiers 1

Medicaid100244490BIN

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 1235169491. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Cg-Dsa, LLC located?

Cg-Dsa, LLC is located at 912 N. Parkway Drive, Anderson, IN 46013. The listed phone number is (756) 649-4247.

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 with the weekly NPPES data releases published by CMS.