CG-DSA, LLC
NPI 1417530940
Intermediate Care Facility, Intellectual Disabilities in Anderson, IN

Active since May 03, 2021
4918 MICHAEL ST, ANDERSON, IN 46013(765) 649-4247 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cg-dsa, Llc NPPES

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

CG-DSA, LLC (NPI 1417530940) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Anderson, 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

NPI1417530940
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCG-DSA, LLC
Location Address4918 MICHAEL STAnderson, IN 46013-1327
Mailing Address4800 Overton Plz Ste 440Fort Worth, TX 76109-4435 · (800) 299-5161 · Fax (817) 447-3033
Organization SubpartYes
Authorized OfficialAnna ToddOperations Business Manager · (800) 299-5161
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
NPI 1417530940 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.
4918 MICHAEL ST, Anderson, IN 46013

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 1417530940. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Cg-Dsa, LLC located?

Cg-Dsa, LLC is located at 4918 Michael St, Anderson, IN 46013. The listed phone number is (765) 649-4247.

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 3, 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.