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EDGEWATER HEALTH
NPI 1477011930
Community/Behavioral Health in Gary, IN

Active since March 04, 2019
1100 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewater Health NPPES

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

EDGEWATER HEALTH (NPI 1477011930) is a healthcare organization registered as a community/behavioral health in Gary, Indiana and active in the NPI registry since March 2019. The organization lists Pierre Wood, Therapist, as its authorized official.

NPPES Registry Identity

NPI1477011930
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEDGEWATER HEALTH
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address17 W 144th St Apt 1wRiverdale, IL 60827-2883
Phone(219) 885-4264
Organization SubpartNo
Authorized OfficialPierre WoodTherapist · (219) 885-4264
Enumeration DateMarch 4, 2019
✔ NPI 1477011930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1100 W 6TH AVE, Gary, IN 46402
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Other Identifiers 1

OtherW300-6708-0246IL · Driver's License

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.

MRS. LARESSE HARRIS APRN, FNP-C
Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DAWN RANDLE
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RESEDA STURDIVANT
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTINA NICOLE BARNETT
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
JEWEL YVETTA JONES
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DIANEA' LYNN MCINTOSH
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
MARSHA CLARK RN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 240-8615
SHANELL LITHRESE HIGHTOWER
Counselor
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264

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 Health's NPI number?

The NPI number for Edgewater Health is 1477011930. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Edgewater Health located?

Edgewater Health is located at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Edgewater Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Edgewater Health was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.