NPIMap

Organization Active NPI

Home Delivery Incontinent Supplies Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Olivette, MO
National Provider Identifier
1497850879
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B0077345A Issued in MO
Legal business name
HOME DELIVERY INCONTINENT SUPPLIES CO INC
Practice address
9385 Dielman Industrial Drive
Olivette, MO 63132-2214
Phone
(800) 933-0822
Fax
(888) 874-4347
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Brad Goodwin
Title
President
Phone
(314) 997-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B0077345A MO Primary

Addresses

Primary practice location

9385 Dielman Industrial Drive
Olivette, MO 63132-2214

Mailing address

9385 Dielman Industrial Drive
Olivette, MO 63132-2214
Phone (800) 933-0822

Other identifiers 16

IdentifierTypeStateIssuer
2167408MedicaidOH
02056215MedicaidNY
100013540AMedicaidIN
3408441MedicaidNC
81866300MedicaidWI
9028242MedicaidWA
010070724MedicaidVI
535063800MedicaidMN
805526300MedicaidID
0005603098MedicaidMO
628652307MedicaidMI
8358702MedicaidNJ
0543678MedicaidIA
98013006MedicaidCO
117002300MedicaidMD
118720716MedicaidAR

Other names 1

  • HDIS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Delivery Incontinent Supplies Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1497850879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 DIELMAN INDUSTRIAL DRIVE",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322214",
            "telephone_number": "800-933-0822",
            "fax_number": "888-874-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 DIELMAN INDUSTRIAL DRIVE",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322214",
            "telephone_number": "800-933-0822",
            "fax_number": "888-874-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DELIVERY INCONTINENT SUPPLIES CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-997-8771"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "B0077345A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167408",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056215",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013540A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408441",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81866300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9028242",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010070724",
            "state": "VI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535063800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805526300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005603098",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628652307",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8358702",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0543678",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98013006",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117002300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118720716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HDIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.