EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
NPI 1598316978
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, IN

NPI Status: Active since September 26, 2019

Contact Information

1100 W 6TH AVE
GARY, IN
ZIP 46402
Phone: (219) 885-4264
Fax: (219) 888-9867

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

This page provides the complete NPI Profile along with additional information for Edgewater Systems For Balanced Living, Inc, a primary care provider established in Gary, Indiana operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1598316978 assigned on September 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Danita Johnson Hughes (President & Ceo)

NPI
1598316978
Provider Name
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Entity Type
Organization
Location Address
1100 W 6TH AVE GARY, IN 46402
Location Phone
(219) 885-4264
Location Fax
(219) 888-9867
Mailing Address
1100 W 6TH AVE GARY, IN 46402
Mailing Phone
(219) 885-4264
Mailing Fax
(219) 888-9867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2019
Last Update Date
09-26-2019
Code Navigator

A primary care provider (PCP) like Edgewater Systems For Balanced Living, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANITA JOHNSON HUGHES

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(219) 885-4264

Reviews for EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598316978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251886112914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 6 + 1 + 1 + 2 + 9 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1598316978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427365253DR. MILTON ARMSTON JR. PSYD
Individual
Psychologist (Clinical)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1790057966 LEE ESTER MARIE CAMPBELL RN
Individual
Registered Nurse1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1619240744MRS. SANDRA F BRYANT RN, BSN
Individual
Registered Nurse (Psychiatric/Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1790056794MS. LUNETTE L LOTT LPN
Individual
Licensed Practical Nurse1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1447386131DR. PAMELA V. TRAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1912970229MR. MATHEW V CASTELINO MD
Individual
Psychiatry & Neurology (Psychiatry)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1497850663MR. KOBIE I DOUGLAS MD
Individual
Psychiatry & Neurology (Psychiatry)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1881722833MR. MUHAMMAD BUTT MD
Individual
Psychiatry & Neurology (Psychiatry)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1750794863MS. AMEKA QUINE'A HARRIS B.A.
Individual
Social Worker1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1316350317 VIRNI WEBB
Individual
Social Worker (School)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1558774190 JIHAN LA BROI
Individual
Counselor (Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1619381035 ERICH DICKERSON
Individual
Counselor (Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 359-3300
1114331428MISS HOLLY SAINT HARDEE
Individual
Social Worker1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1215342969 DANYELLE EVANS
Individual
Counselor (Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1174938534MS. CHARLIE SIMMONS
Individual
Registered Nurse1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1073928347MR. SPIRO MEHAS OMHP
Individual
Social Worker1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1548675739 SHANNON DERICO
Individual
Counselor (Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1063828879 CLAUDE ANN POUPOLOS MSW
Individual
Social Worker1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1336554146 MIRANDA ROSE
Individual
Counselor (Mental Health)1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264
1417363136MR. CARLOS A LAURIE MSMFT
Individual
Marriage & Family Therapist1100 W 6TH AVE
GARY, IN 46402
(219) 885-4264

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598316978, enumerated in the NPI registry as an "organization" on September 26, 2019

The provider is located at 1100 W 6th Ave Gary, In 46402 and the phone number is (219) 885-4264

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.