EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
NPI 1093670648
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, IN

Q: What is Edgewater Systems For Balanced Living, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 17, 2025

900 GERRY ST,, GARY, IN 46406(844) 433-4392(219) 888-9867 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edgewater Systems For Balanced Living, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC (NPI 1093670648) is a healthcare organization registered as a federally qualified health center (fqhc) in Gary, Indiana and active in the NPI registry since December 2025. The organization lists Danita Johnson-woods, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093670648

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC

Location Address900 GERRY ST,Gary, IN 46406

Mailing Address1100 W 6th AveGary, IN 46402-1711

Phone(844) 433-4392

Fax(219) 888-9867

Organization SubpartNo

Authorized OfficialDanita Johnson-woodsCeo · (219) 885-4264

Enumeration DateDecember 17, 2025

NPPES CertifiedDecember 17, 2025

✔ NPI 1093670648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

900 GERRY ST,, Gary, IN 46406

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewater Systems For Balanced Living, Inc's NPI number?

The NPI number for Edgewater Systems For Balanced Living, Inc is 1093670648. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Edgewater Systems For Balanced Living, Inc located?

Edgewater Systems For Balanced Living, Inc is located at 900 Gerry St,, Gary, IN 46406. The listed phone number is (844) 433-4392.

What is Edgewater Systems For Balanced Living, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Edgewater Systems For Balanced Living, Inc was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.