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 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Edgewater Systems For Balanced Living, Inc. can be contacted via phone (219) 885-4264, or through Lott, Lunette Lashaun 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:
Authorized official contact:
Name: Lott, Lunette Lashaun Licensed Practical Nurse (LPN)
Phone: (219) 885-4264
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1588705784 |
|---|---|
| LBN Legal business name | Edgewater Systems For Balanced Living, Inc. |
| DBA Doing business as | |
| Authorized official | Lott, Lunette Lashaun Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jan 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588705784 | NPPES |
| Indiana | MEDICAID | 100273230 | |
| Indiana | MEDICAID | 200079390 |
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