Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.
Active
Organization
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUNETTE LASHAUN LOTT LPN (DIRECTOR ACCTS. RECEIVABLES)
(219) 885-4264
Entity
Organization
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 882-0242
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 882-0962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273230
—
IN
05
—
200079390
—
IN
Enumeration date
02/09/2007
Last updated
01/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers