Organization Active NPI

Badolian Enterprises, Inc

Doing business as Badolian Enterprises

  • Public Health or Welfare Agency
  • West Plains, MO
National Provider Identifier
1063295897
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BADOLIAN ENTERPRISES, INC
Doing business as
Badolian Enterprises
Eden's Hideout Massage Studio
Practice address
1622 Porter Wagoner Blvd Ste 1
West Plains, MO 65775-1806
Phone
(417) 274-6234
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Therese Badolian, MASSAGE THERAPISTNPI 1861584658
Title
Ceo/Massage Therapist
Phone
(417) 274-6234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1622 Porter Wagoner Blvd Ste 1
West Plains, MO 65775-1806

Mailing address

6304 County Road 1820
Pomona, MO 65789-9171
Phone (417) 274-6234

Other names 2

  • Badolian Enterprises Doing business as
  • Eden's Hideout Massage Studio Doing business as

National Provider Directory

National Provider Directory

Locations

1622 Porter Wagoner Blvd
Ste 1
West Plains, MO 65775
Phone (417) 204-9696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1063295897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 COUNTY ROAD 1820",
            "city": "POMONA",
            "state": "MO",
            "postal_code": "657899171",
            "telephone_number": "417-274-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PORTER WAGONER BLVD STE 1",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751806",
            "telephone_number": "417-274-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADOLIAN ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "BADOLIAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "CEO/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "417-274-6234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Badolian Enterprises",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden's Hideout Massage Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.