Cg-Dsa, Llc in Forth Worth - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cg-Dsa, Llc - NPI 1740210863
Cg-Dsa, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Forth 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 1740210863. The last update date is 2021-08-13.
Cg-Dsa, Llc's current location address is 4800 Overton Plaza, Forth Worth, Texas. You can contact this provider via phone number 8002995161. The mailing address for Cg-Dsa, Llc is 4800 Overton Plaza, Forth Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cg-Dsa, Llc |
|---|---|
| Address | 4800 Overton Plaza, Forth 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 | 1740210863 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2021-08-13 |
Provider Mailing Address Detail
| Address | 4800 Overton Plaza |
|---|---|
| City | Forth 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100243450C | IN | -- |
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What is the unique 10-digit identification 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) 1740210863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Cg-Dsa, Llc located?
The Cg-Dsa, Llc is located at 4800 Overton Plaza, Forth Worth, TX 761094435.
What is the area of specialization for Cg-Dsa, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cg-Dsa, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740210863 to Cg-Dsa, Llc?
The Centers for Medicare & Medicaid Services assigned the 1740210863 to Cg-Dsa, Llc on 2006-07-04.
As of what date was the information regarding Cg-Dsa, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cg-Dsa, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-13.
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