OrganizationActive
Edgewater Systems for Balanced Living, Inc
NPI 1407457591 · Federally Qualified Health Center (FQHC) · Merrillville, IN
Provider details
- NPI number
- 1407457591
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danita Hughes, Ceo(219) 885-4264
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5495 Broadway
Merrillville, IN 46410-1647
Phone: (219) 985-5500
Street-level locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Other names (DBA / former)
- Other name
- Edgewater Health - Merrillville
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.