OrganizationActive
Cg-Dsa, LLC
NPI 1114592367 · Intellectual Disabilities Intermediate Care Facility · Shelbyville, IN
Provider details
- NPI number
- 1114592367
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Cg-Dsa, LLC
- Organization subpart
- Yes
- Authorized official
- Anna Todd, Operations Business Manager(800) 299-5161
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3222 S 125 E
Shelbyville, IN 46176-9332
Phone: (317) 477-0093
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.