1. Home
  2. Directory
  3. Indiana
  4. Gary
  5. Clinic Center
  6. NPI Profile

EDGEWATER BEHAVIORAL HEALTH SERVICES, INC
NPI 1770960536
Clinic/Center - Rehabilitation, Substance Use Disorder in Gary, IN

Active since April 30, 2015
4747 W 24TH AVE, GARY, IN 46406(219) 977-0110(219) 427-1672 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 9, 2018 (2 updates tracked since 2018).

About Edgewater Behavioral Health Services, Inc NPPES

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

EDGEWATER BEHAVIORAL HEALTH SERVICES, INC (NPI 1770960536) is a healthcare organization registered as a rehabilitation, substance use disorder in Gary, Indiana and active in the NPI registry since April 2015. The organization lists Danita Johnson-hughes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770960536
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Location Address4747 W 24TH AVEGary, IN 46406
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264 · Fax (219) 882-0352
Phone(219) 977-0110
Fax(219) 427-1672
Organization SubpartNo
Authorized OfficialDanita Johnson-hughesCeo · (219) 881-2466
Enumeration DateApril 30, 2015
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1770960536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IN · 421-009
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4747 W 24TH AVE, Gary, IN 46406
Open in Google Maps ↗

Other Names 2

Doing Business AsEdgewater Behavioral Health Services, Inc
Doing Business AsEdgewater Health Rapid Access Center

Other Identifiers 1

Medicaid300013628IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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 For Balanced Living, Inc's NPI number?

The NPI number for Edgewater Systems For Balanced Living, Inc is 1770960536. It was assigned to this organization in the NPPES registry on April 30, 2015. The provider is doing business as Edgewater Behavioral Health Services, Inc and Edgewater Health Rapid Access Center.

Where is Edgewater Systems For Balanced Living, Inc located?

Edgewater Systems For Balanced Living, Inc is located at 4747 W 24th Ave, Gary, IN 46406. The listed phone number is (219) 977-0110.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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

Health plans from 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 June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.