Bagley House – Intellectual Disabilities Intermediate Care Facility, NPI 1104039924

Bagley House is a healthcare provider. based in Cleveland, Ohio. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 1812640 (OH). The NPI Number for Bagley House is 1104039924

Main info

Organization
Name
Bagley House
NPI
1104039924
Phone
(216) 736-2625
Address
19080 BAGLEY RD
Authorized Official
MR. TERRENCE RYAN SUPERINTENDENT
Enumeration Date
8 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Bagley House

  • Cleveland Clinic Middleburg Heights Family Health Center, 17840, Bagley Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    CLEVELAND, OH 441303310

    Phone: (216) 736-2625

    Fax: (216) 736-2702

    Type: Location

  • 1275, Lakeside Avenue East, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44114, United States

    CLEVELAND, OH 441141132

    Phone: (216) 736-2625

    Fax: (216) 736-2702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44130)

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Reviews

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Frequently asked questions

What NPI should I save for Bagley House?
Save NPI 1104039924 if you need a stable reference for Bagley House.
Is Bagley House's NPI currently valid?
The extract we use shows Bagley House as active.
What kind of provider is Bagley House?
The page reflects Intellectual Disabilities Intermediate Care Facility for Bagley House. Clinical services aligned with this taxonomy classification.
What location shows for Bagley House?
We surface Cleveland, Ohio for Bagley House based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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