CG-DSA, LLC
NPI 1801534177
Intermediate Care Facility, Intellectual Disabilities in Angola, IN

Active since May 25, 2022
1102 W MILL ST, ANGOLA, IN 46703(260) 833-4208 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cg-dsa, Llc NPPES

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

CG-DSA, LLC (NPI 1801534177) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Angola, Indiana and active in the NPI registry since May 2022. The organization lists Brandi Turner, Licensing And Contracts Coordinator, as its authorized official.

NPPES Registry Identity

NPI1801534177
Entity TypeOrganization
Primary Taxonomy315P00000X
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
Organization SubpartNo
Authorized OfficialBrandi TurnerLicensing And Contracts Coordinator · (800) 299-5161
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1801534177 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.

1102 W MILL ST, Angola, IN 46703

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.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1102 W MILL ST
ANGOLA, IN 46703
Intermediate Care Facility, Mental Illness
1102 W MILL ST
ANGOLA, IN 46703

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 1801534177. It was assigned to this organization in the NPPES registry on May 25, 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, 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 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.