Dockside Services, LLC
Dockside Services, LLC is a healthcare organization registered as Community/Behavioral Health Agency in Merrillville, IN, holding Type 2 (organization) NPI 1124154414 since 2007. The authorized official on file is Mary Mims, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124154414 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dockside Services, LLC |
| Practice address | 2614 LINCOLN HWY, Merrillville, IN, 46410 |
| Phone | 2195133960 |
| Fax | 2198388020 |
| Enumeration date | 2007-02-23 |
| Last updated in NPPES | 2026-02-05 |
Authorized official
| Name | Mary Mims |
|---|---|
| Title | Executive Director |
| Phone | 7089037689 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251B00000X | Case Management Agency | Secondary | 370346298 53782 | IN |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297360A | Medicaid | IN | — |
Copy-ready billing details
Provider: Dockside Services, LLC NPI: 1124154414 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 2614 LINCOLN HWY, Merrillville, IN, 46410
Verify this record
Cross-check NPI 1124154414 against the authoritative CMS record: view Dockside Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-05.