Cg-Dsa, Llc in Fort Worth - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cg-Dsa, Llc - NPI 1598799983
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 1598799983. The last update date is 2021-08-17.
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 | 1598799983 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2021-08-17 |
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 |
|---|---|---|---|
| 100243330C | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Cg-Dsa, Llc?
The Cg-Dsa, Llc has been issued the NPI (National Provider Identifier) 1598799983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Cg-Dsa, Llc is located?
The Cg-Dsa, Llc is situated at the following address: 4800 Overton Plaza, Fort Worth, TX, 761094435.
What is Cg-Dsa, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cg-Dsa, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598799983 to Cg-Dsa, Llc?
The Cg-Dsa, Llc received its 1598799983 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Cg-Dsa, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cg-Dsa, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-08-17.