Provider Demographics
NPI:1154930428
Name:NEXT TO KIN LLC
Entity type:Organization
Organization Name:NEXT TO KIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-307-4657
Mailing Address - Street 1:306 CAVANAH DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-4235
Mailing Address - Country:US
Mailing Address - Phone:386-307-4657
Mailing Address - Fax:
Practice Address - Street 1:306 CAVANAH DR
Practice Address - Street 2:
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117-4235
Practice Address - Country:US
Practice Address - Phone:386-307-4657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care