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CG-DSA, LLC
NPI 1720721707
Intermediate Care Facility, Mental Illness in Angola, IN

Active since April 18, 2022
1102 W MILL ST, ANGOLA, IN 46703(260) 833-4208 Get Directions Write a Review

NPPES record last updated: April 18, 2022. 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 1720721707) is a healthcare organization registered as an intermediate care facility, mental illness in Angola, Indiana and active in the NPI registry since April 2022. The organization lists Anna Todd, Operations Business Manager, as its authorized official.

NPPES Registry Identity

NPI1720721707
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameCG-DSA, LLC
Location Address1102 W MILL STAngola, IN 46703-1344
Mailing Address4800 Overton Plz Ste 440Fort Worth, TX 76109-4435 · (800) 299-5161
Phone(260) 833-4208
Organization SubpartYes
Authorized OfficialAnna ToddOperations Business Manager · (800) 299-5161
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1720721707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
1102 W MILL ST, Angola, IN 46703
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY LIVING, INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1102 W MILL ST
ANGOLA, IN 46703
Steuben County (260) 665-7681
CG-DSA, LLC
Intermediate Care Facility, Intellectual Disabilities
1102 W MILL ST
ANGOLA, IN 46703
Steuben County (260) 833-4208

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 1720721707. It was assigned to this organization in the NPPES registry on April 18, 2022.

Where is Cg-Dsa, LLC located?

Cg-Dsa, LLC is located at 1102 W Mill St, Angola, IN 46703. The listed phone number is (260) 833-4208.

What is Cg-Dsa, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Cg-Dsa, LLC was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.