OrganizationActive
Cg-Dsa, LLC
NPI 1194308635 · Intellectual Disabilities Intermediate Care Facility · Indianapolis, IN
Provider details
- NPI number
- 1194308635
- 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
3708 Luewan Dr
Indianapolis, IN 46235-2284
Phone: (317) 477-0093
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
- 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.