Edgewater Systems For Balanced Living, Inc

LBN: Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc is an health care organization with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Edgewater Systems For Balanced Living, Inc can be contacted via phone (219) 885-4264, or through Johnson-Hughes, Danita via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax: (219) 882-0242
Website:
Map and Directions
Authorized official contact:
Name: Johnson-Hughes, Danita
Phone: (219) 885-4264

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1225245822
LBN Legal business name Edgewater Systems For Balanced Living, Inc
DBA Doing business as
Authorized official Johnson-Hughes, Danita
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Jul 31st, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225245822 NPPES
Indiana MEDICAID 200079390

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