EDGEWATER HEALTH - MERRILLVILLE
NPI 1407457591
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since November 04, 2020
5495 BROADWAY, MERRILLVILLE, IN 46410(219) 985-5500 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Nov 4, 2020 (2 updates tracked since 2020).

About Edgewater Health - Merrillville NPPES

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

EDGEWATER HEALTH - MERRILLVILLE (NPI 1407457591) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since November 2020. The organization lists Danita Johnson Hughes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407457591
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Location Address5495 BROADWAYMerrillville, IN 46410-1647
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Organization SubpartNo
Authorized OfficialDanita Johnson HughesCeo · (219) 885-4264
Enumeration DateNovember 4, 2020
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1407457591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5495 BROADWAY, Merrillville, IN 46410

Other Names 1

Other NameEdgewater Health - Merrillville

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
5495 BROADWAY
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5495 BROADWAY
MERRILLVILLE, IN 46410
Public Health or Welfare
5495 BROADWAY
MERRILLVILLE, IN 46410
Internal Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5495 BROADWAY
MERRILLVILLE, IN 46410
Family Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410

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 1407457591. It was assigned to this organization in the NPPES registry on November 4, 2020. The provider is also known as Edgewater Health - Merrillville.

Where is Edgewater Systems For Balanced Living, Inc located?

Edgewater Systems For Balanced Living, Inc is located at 5495 Broadway, Merrillville, IN 46410. The listed phone number is (219) 985-5500.

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.

What insurance does Edgewater Systems For Balanced Living, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Edgewater Systems For Balanced Living, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edgewater Systems For Balanced Living, Inc was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.