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EDGEWATER SYSTERMS FOR BALANCED LIVING
NPI 1790154417
Community/Behavioral Health in Gary, IN

Active since September 23, 2015
1106 WEST 6 TH AVENUE, GARY, IN 46402(219) 885-4264(219) 885-1332 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewater Systerms For Balanced Living NPPES

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

EDGEWATER SYSTERMS FOR BALANCED LIVING (NPI 1790154417) is a healthcare organization registered as a community/behavioral health in Gary, Indiana and active in the NPI registry since September 2015. The organization lists Thomas Michael Buckner, Therapist Ii, as its authorized official.

NPPES Registry Identity

NPI1790154417
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEDGEWATER SYSTERMS FOR BALANCED LIVING
Location Address1106 WEST 6 TH AVENUEGary, IN 46402
Mailing Address1106 West 6 Th AvenueGary, IN 46402 · (219) 885-4264 · Fax (219) 885-1332
Phone(219) 885-4264
Fax(219) 885-1332
Organization SubpartNo
Authorized OfficialThomas Michael BucknerTherapist Ii · (219) 885-4264
Enumeration DateSeptember 23, 2015
✔ NPI 1790154417 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.
1106 WEST 6 TH AVENUE, Gary, IN 46402
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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 Systerms For Balanced Living's NPI number?

The NPI number for Edgewater Systerms For Balanced Living is 1790154417. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Edgewater Systerms For Balanced Living located?

Edgewater Systerms For Balanced Living is located at 1106 West 6 Th Avenue, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Edgewater Systerms For Balanced Living'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 Systerms For Balanced Living was last updated on September 23, 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.