Bodacious Water Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18478200 Issued in OH

Legal business name

BODACIOUS WATER COMPANY

Practice address

24161 Greenlawn Ave
Beachwood, OH 44122-1438

Phone

(216) 235-5634

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Harold M Cohen

Title

President

Phone

(216) 621-7577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1467630236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 GREEN RD",
            "address_2": "221152",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225722",
            "telephone_number": "216-621-7577",
            "fax_number": "216-382-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24161 GREENLAWN AVE",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221438",
            "telephone_number": "216-235-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODACIOUS WATER COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-621-7577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "18478200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Moss Blumenthal, PH.D.
• Boardman Medical Supply Co
• Harvey Boardman, RPH
• William John Bobowicz Jr., PSYD
• John R Bockoven, M.D.
• Suzanne L. Boehringer, LPCC-S
• Tatiana A Bogorodsky
• Uliana Boiko, QMHS-3
• Jeffrey E Bolek, PHD
• Deborah Bonem

• Durable Medical Equipment & Medical Supplies in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.