Magnolia Clubhouse Inc
NPI 1902139033 · Adult Mental Health Clinic/Center · Cleveland, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Clubhouse Inc is a Adult Mental Health Clinic/Center organization in Cleveland, OH (NPI 1902139033).
Provider details
- NPI number
- 1902139033
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lori D'Angelo, Executive Director(216) 721-3030
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2014-07-17
Frequently asked questions
- What is Magnolia Clubhouse Inc's NPI number?
- Magnolia Clubhouse Inc's National Provider Identifier (NPI) is 1902139033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Clubhouse Inc?
- Magnolia Clubhouse Inc is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Magnolia Clubhouse Inc located?
- Magnolia Clubhouse Inc's practice location on file with NPPES is 11101 Magnolia Dr, Cleveland, OH 44106-1813.
- What is Magnolia Clubhouse Inc's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Clubhouse Inc is (216) 721-3030.
- Does Magnolia Clubhouse Inc accept Medicare?
- Magnolia Clubhouse Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Magnolia Clubhouse Inc?
- The authorized official listed on Magnolia Clubhouse Inc's NPPES record is Lori D'Angelo, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Clubhouse Inc's NPI active?
- Yes — Magnolia Clubhouse Inc's NPI (1902139033) is active in the NPPES registry as of the last update on 2014-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.