EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1770960536, based in Gary, IN. The organization lists 3 taxonomy classifications, with Substance Use Disorder Rehabilitation Clinic/Center recorded as primary.
Getting there
The practice address on file is 4747 W 24TH AVE, Gary, IN 46406. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 421-009 | IN | Substance Use Disorder Rehabilitation… primary |
This provider holds licence 421-009 issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Rehabilitation, Substance Use Disorder covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0405X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 421-009 | IN | primary |
| 283Q00000X | Psychiatric Hospital | — | — | |
| 324500000X | Substance Abuse Rehabilitation Facility | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1770960536 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 30, 2015 |
| Last updated | Jun 16, 2018 |
| Status | Active |
| Practice address |
4747 W 24TH AVE Gary, IN 46406 (219) 977-0110 Fax (219) 427-1672 |
| Mailing address |
1100 W 6TH AVE Gary, IN 46402 |
| Other identifiers |
300013628
· Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 9 | 6 | 0 | 5 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 9 | 6 | 0 | 5 | 6 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.