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CG-DSA, LLC
NPI 1861075301
Intermediate Care Facility, Intellectual Disabilities in Indianapolis, IN

Active since May 03, 2021
9520 GEMINI DR, INDIANAPOLIS, IN 46229(317) 477-0093 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cg-dsa, Llc NPPES

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

CG-DSA, LLC (NPI 1861075301) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Indianapolis, 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

NPI1861075301
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCG-DSA, LLC
Location Address9520 GEMINI DRIndianapolis, IN 46229-1220
Mailing Address4800 Overton Plz Ste 440Fort Worth, TX 76109-4435 · (800) 299-5161 · Fax (817) 447-3033
Phone(317) 477-0093
Organization SubpartYes
Authorized OfficialAnna ToddOperations Business Manager · (800) 299-5161
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1861075301 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.

9520 GEMINI DR, Indianapolis, IN 46229
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Frequently Asked Questions

What is CG-DSA, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1861075301, enumerated as an "organization" on May 03, 2021.

Where is the provider located?

The provider is located at 9520 GEMINI DR INDIANAPOLIS, IN 46229 and the phone number is (317) 477-0093.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.