Cg-Dsa, Llc in Fort Worth - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cg-Dsa, Llc - NPI 1215960075
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 1215960075. 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 and fax number 3174621250. 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 | 3174621250 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Todd Anna |
| Telephone Number | 8002995161 |
NPI Number Detail
| NPI Number | 1215960075 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| 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 | 3174621250 |
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 |
|---|---|---|---|
| 100244960C | IN | -- |
Post Comment/ Review Below
What is the Cg-Dsa, Llc's 1215960075?
The Cg-Dsa, Llc's NPI (National Provider Identifier) Number is 1215960075. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cg-Dsa, Llc?
The Cg-Dsa, Llc is situated at 4800 Overton Plaza, in the city of Fort Worth, state of TX, with the zip code 761094435.
What is Cg-Dsa, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cg-Dsa, Llc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Cg-Dsa, Llc receive the assignment of its 1215960075 from the Centers for Medicare & Medicaid Services?
The Cg-Dsa, Llc was issued its 1215960075 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the Cg-Dsa, Llc's information last updated?
The Cg-Dsa, Llc's information was last updated on 2021-08-13.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY