Home Delivery Incontinent Supplies Co Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOME DELIVERY INCONTINENT SUPPLIES CO INC

Doing business as

Hdis

Practice address

801 Broad St Ste 602
Augusta, GA 30901-1227

Phone

(800) 367-8360

Fax

(888) 874-4347

NPI assigned

Sep 9, 2020

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JOURNEY DPC CORPAs reported in NPPES

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

Addresses

Other names 1

• HDIS Doing business as

Locations

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1740895580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 DIELMAN INDUSTRIAL DR",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322214",
            "telephone_number": "314-997-8771",
            "fax_number": "314-997-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROAD ST STE 602",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011227",
            "telephone_number": "800-367-8360",
            "fax_number": "888-874-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DELIVERY INCONTINENT SUPPLIES CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY DPC CORP",
        "enumeration_date": "2020-09-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HDIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac Faxon Holton Jr., D.M.D.
• Rhonda L. Holton, NNP
• Deborah Roos Holtzclaw, M.D.
• Nichole Marie Holweg, DO
• James Columbus Holyfield III, LMT
• Homechoice Partners, LLC (BioScrip Infusion Services)
• Homechoice Partners, LLC (BioScrip Infusion Services)
• Homestead Hospice of Augusta, LLC (Traditions Health)
• Homestead Hospice of Augusta, LLC (Traditions Health)
• Christopher Homeyer, M.D.

• Durable Medical Equipment & Medical Supplies in Augusta, GA
• Providers in Augusta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• 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.