Edgewater Systems
Edgewater Systems is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Gary, IN, holding Type 2 (organization) NPI 1881063196 since 2015. The authorized official on file is Kenisha Peden, Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881063196 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edgewater Systems |
| Practice address | 4747 W 24TH AVE, Gary, IN, 46406 |
| Phone | 2192408615 |
| Fax | 2199771197 |
| Enumeration date | 2015-09-16 |
| Last updated in NPPES | 2015-09-16 |
Authorized official
| Name | Kenisha Peden |
|---|---|
| Title | Therapist |
| Phone | 2192408615 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | — | — |
Copy-ready billing details
Provider: Edgewater Systems NPI: 1881063196 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 4747 W 24TH AVE, Gary, IN, 46406
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184757320 | Middle Passage, Incorporated | Organization | Community/Behavioral Health Agency | Gary, IN |
| 1770960536 | Edgewater Systems for Balanced Living, Inc | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Gary, IN |
| 1548638745 | Lamont Labroi | Individual | Mental Illness Community Based Residential Treatment Facility | Gary, IN |
| 1013385111 | Tia Williams | Individual | Mental Illness Community Based Residential Treatment Facility | Gary, IN |
| 1407224603 | Billy Madgett | Individual | Mental Illness Community Based Residential Treatment Facility | Gary, IN |
| 1093184251 | Robert Mays | Individual | Attendant Care Provider | Gary, IN |
| 1508235771 | Nevin Malone | Individual | Attendant Care Provider | Gary, IN |
| 1962871194 | Melinda Mcintosh | Individual | Licensed Practical Nurse | Gary, IN |
Verify this record
Cross-check NPI 1881063196 against the authoritative CMS record: view Edgewater Systems on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Edgewater Systems?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-09-16.