Cg-Dsa, Llc

LBN: Cg-Dsa, Llc
Cg-Dsa, Llc is an health care organization with primary practice located at 12110 Beckley Rd , Indianapolis IN 46229-3204. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Cg-Dsa, Llc can be contacted via phone (317) 477-0093, or through Todd, Anna via phone (800) 299-5161.

Contact Information

Primary practice address
12110 Beckley Rd Indianapolis IN 46229-3204
Phone: (317) 477-0093
Fax: (317) 348-3430
Website:
Map and Directions
Authorized official contact:
Name: Todd, Anna
Phone: (800) 299-5161

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1124051982
LBN Legal business name Cg-Dsa, Llc
DBA Doing business as
Authorized official Todd, Anna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124051982 NPPES
Indiana MEDICAID 100244470C

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