Healthcare Provider Details
I. General information
NPI: 1306864277
Provider Name (Legal Business Name): NEXT TO ME INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8920 MENTOR AVE
MENTOR OH
44060-6309
US
IV. Provider business mailing address
8920 MENTOR AVE
MENTOR OH
44060-6309
US
V. Phone/Fax
- Phone: 440-974-0900
- Fax: 440-974-5813
- Phone: 440-974-0900
- Fax: 440-974-5813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARY
BALLENTINE
WOOD
Title or Position: OWNER
Credential:
Phone: 440-974-0900