OrganizationActive
Cg-Dsa, LLC
NPI 1588698021 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anderson, IN
Provider details
- NPI number
- 1588698021
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anna Todd, Operations Business Manager(800) 299-5161
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4918 Michael Street
Anderson, IN 46013-1327
Phone: (765) 649-4247
Fax: (765) 642-8512
Street-level locationGet directions
Mailing address
4800 Overton Plaza
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.