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Cg-Dsa, LLC

NPI 1720721707ActiveOrganization· Intermediate Care Facility, Mental Illness· Angola, IN

Intermediate Care Facility, Mental Illness in Angola, Indiana, registered in NPPES in April 2022, part of Cg-Dsa, LLC. The authorized official on file is Anna Todd, Operations Business Manager.

Overview

NPI1720721707
StatusActive
Entity typeOrganization (subpart)
Parent organizationCg-Dsa, LLC
NPI issuedApr 18, 2022
Last updated in NPPESApr 18, 2022
Certified by providerApr 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Mental Illness Primary310500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years