Cg-Dsa, Llc in Fort Worth - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cg-Dsa, Llc - NPI 1154340396
Cg-Dsa, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fort Worth, Texas. Cg-Dsa, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Cg-Dsa, Llc is 1154340396. The last update date is 2021-08-13.
Cg-Dsa, Llc's current location address is 4800 Overton Plaza, Fort Worth, Texas. You can contact this provider via phone number 8002995161. The mailing address for Cg-Dsa, Llc is 4800 Overton Plaza, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cg-Dsa, Llc |
|---|---|
| Address | 4800 Overton Plaza, Fort Worth, Texas |
| Phone Number | 8002995161 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Todd Anna |
| Telephone Number | 8002995161 |
NPI Number Detail
| NPI Number | 1154340396 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2021-08-13 |
Provider Mailing Address Detail
| Address | 4800 Overton Plaza |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761094435 |
| Phone Number | 8002995161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identifier code issued to Cg-Dsa, Llc by the Centers for Medicare & Medicaid Services?
The Cg-Dsa, Llc has been assigned the NPI (National Provider Identifier) 1154340396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Cg-Dsa, Llc's facilities are situated?
The facilities of Cg-Dsa, Llc are physically located at the following address: 4800 Overton Plaza, Fort Worth, TX, 761094435.
What is Cg-Dsa, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cg-Dsa, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When did Cg-Dsa, Llc receive its 1154340396 assignment?
The Cg-Dsa, Llc was assigned its 1154340396 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Cg-Dsa, Llc most recently updated or revised?
The information pertaining to Cg-Dsa, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2021-08-13.