OrganizationActive
Fort Wayne Clubhouse, Inc
NPI 1346601366 · Community/Behavioral Health Agency · Fort Wayne, IN
Fort Wayne Clubhouse, Inc is a Community/Behavioral Health Agency organization in Fort Wayne, IN (NPI 1346601366).
Provider details
- NPI number
- 1346601366
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alexander Wilson, Executive Director(260) 414-8164
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3327 Lake Ave
Fort Wayne, IN 46805-5529
Phone: (260) 414-8164
Fax: (260) 423-4621
Street-level locationGet directions
Mailing address
3327 Lake Ave
Fort Wayne, IN 46805-5529
Other names (DBA / former)
- Doing business as
- The Carriage House
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2016-03-18
Frequently asked questions
- What is Fort Wayne Clubhouse, Inc's NPI number?
- Fort Wayne Clubhouse, Inc's National Provider Identifier (NPI) is 1346601366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Clubhouse, Inc?
- Fort Wayne Clubhouse, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Fort Wayne Clubhouse, Inc located?
- Fort Wayne Clubhouse, Inc's practice location on file with NPPES is 3327 Lake Ave, Fort Wayne, IN 46805-5529.
- What is Fort Wayne Clubhouse, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Clubhouse, Inc is (260) 414-8164.
- Who is the authorized official for Fort Wayne Clubhouse, Inc?
- The authorized official listed on Fort Wayne Clubhouse, Inc's NPPES record is Alexander Wilson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Clubhouse, Inc's NPI active?
- Yes — Fort Wayne Clubhouse, Inc's NPI (1346601366) is active in the NPPES registry as of the last update on 2016-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.