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EDGEWATER SYSTEMS
NPI 1407226608
Substance Abuse Rehabilitation Facility in Gary, IN

Active since September 30, 2015
4747 W 24TH AVE, GARY, IN 46406(219) 240-8615 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgewater Systems NPPES

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

EDGEWATER SYSTEMS (NPI 1407226608) is a healthcare organization registered as a substance abuse rehabilitation facility in Gary, Indiana and active in the NPI registry since September 2015. The organization lists Direnda Beale, Case Manager, as its authorized official.

NPPES Registry Identity

NPI1407226608
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEDGEWATER SYSTEMS
Location Address4747 W 24TH AVEGary, IN 46406-2821
Mailing Address1100 W 6th AveGary, IN 46402-1711
Phone(219) 240-8615
Organization SubpartNo
Authorized OfficialDirenda BealeCase Manager · (219) 240-8615
Enumeration DateSeptember 30, 2015
✔ NPI 1407226608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4747 W 24TH AVE, Gary, IN 46406
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIA WILLIAMS
Community Based Residential Treatment Facility, Mental Illness
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
LADONNA LUCILLE BELL
Registered Nurse (Addiction (Substance Use Disorder))
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 885-4264
ROBERT MAYS
Technician (Attendant Care Provider)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
ZAKIA BRODNAX
Technician, Health Information (Assistant Record Technician)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
STACEY WILLIAMS RN
Registered Nurse (Administrator)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
MIDDLE PASSAGE, INCORPORATED
Community/Behavioral Health
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 949-4747
KHALIAH AMANI HERBERT
Technician, Health Information
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 885-4264
MRS. TERRONDA HURN RN
Registered Nurse
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615

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's NPI number?

The NPI number for Edgewater Systems is 1407226608. It was assigned to this organization in the NPPES registry on September 30, 2015.

Where is Edgewater Systems located?

Edgewater Systems is located at 4747 W 24th Ave, Gary, IN 46406. The listed phone number is (219) 240-8615.

What is Edgewater Systems's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Edgewater Systems was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.