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Edgewater Systems for Balanced Living, Inc

Substance Use Disorder Rehabilitation Clinic/Center in Gary, IN · enumerated 2015 · authorized official Danita Johnson-Hughes, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770960536

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewater Systems for Balanced Living, Inc
Other name <Unavail>
Practice address 4747 W 24th Ave, Gary, IN, 46406
Fax (219) 427-1672
Enumeration date Apr 30, 2015
Last updated in NPPES Jun 16, 2018

Taxonomy & classification

283Q00000X Psychiatric Hospital Hospitals Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 421-009 (IN) Primary

Authorized official

Name Danita Johnson-Hughes
Title Ceo

Other identifiers

Identifier Type State Issuer
300013628 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Edgewater Systems for Balanced Living, Inc located?
The practice location on file with NPPES is in Gary, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-16.