Home Delivery Incontinent Supplies Co Inc
Durable Medical Equipment & Medical Supplies
4613 Parkway Dr, Suite A, Texarkana
Arkansas, 71854-1142
800-367-8360 Home Delivery Incontinent Supplies Co Inc is a Durable Medical Equipment & Medical Supplies in Texarkana, Arkansas. This organization is also known as sub part of Journey Dpc Corp. It is located at 4613 Parkway Dr, Suite A, Texarkana and it's customer support contact number is 800-367-8360. The authorized person of Home Delivery Incontinent Supplies Co Inc is Brad Goodwin who is President of this DME and his contact number is 314-997-8771. Home Delivery Incontinent Supplies Co Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Home Delivery Incontinent Supplies Co Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Home Delivery Incontinent Supplies Co Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Home Delivery Incontinent Supplies Co Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4613 Parkway Dr, Suite A, Texarkana,
Arkansas, 71854-1142 |
| Phone: | 800-367-8360 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Brad Goodwin |
| Position: | President |
| Contact Number: | 314-997-8771 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1104167352 |
| Parent Organization: | Journey Dpc Corp |
| NPI Enumeration Date: | 13 Mar, 2013 |
| NPI Last Update On: | 23 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Home Delivery Incontinent Supplies Co Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 330741501 | Medicaid | Texas | |
| 330741503 | Medicaid | Texas | |
| 330741502 | Medicaid | Texas | |
Medicare Enrollment:
Home Delivery Incontinent Supplies Co Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193844439 | O20130904000436 | Home Delivery Incontinent Supplies Co Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Home Delivery Incontinent Supplies Co Inc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9385 Dielman Industrial Dr,
Olivette, Missouri |
| Zip: | 63132-2214 |
| Phone Number: | 314-997-8771 |
| Fax Number: | 314-997-0997 |
Patients can reach Home Delivery Incontinent Supplies Co Inc at
4613 Parkway Dr, Suite A, Texarkana, Arkansas or can
call on customer care at 800-367-8360.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.