| Entity Name: | HOME DELIVERY INCONTINENT SUPPLIES, CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Aug 2010 (14 years ago) |
| Document Number: | F10000003720 |
| FEI/EIN Number | 43-1511171 |
| Address: | 9385 DIELMAN INDUSTRIAL DR, OLIVETTE, MO 63132 |
| Mail Address: | 9385 DIELMAN INDUSTRIAL DR, OLIVETTE, MO 63132 |
| Place of Formation: | MISSOURI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174839617 | 2010-08-22 | 2021-04-15 | 9385 DIELMAN INDUSTRIAL DR, OLIVETTE, MO, 631322214, US | 115 E GRANADA BLVD STE 6, ORMOND BEACH, FL, 321766634, US | |||||||||||||||||||||||||||
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| Phone | +1 314-997-8771 |
| Fax | 3149970997 |
| Phone | +1 800-367-8360 |
| Fax | 8888744347 |
Authorized person
| Name | MARK NEDVIN |
| Role | PRESIDENT |
| Phone | 3149978771 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002960300 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Nedvin, Mark | President | 9385 DIELMAN INDUSTRIAL DR, OLIVETTE, MO 63132 |
| Name | Role | Address |
|---|---|---|
| Goodwin, Brad | Vice President | 8020 Arco Corporate Dr., Suite 200 Raleigh, NC 27617 |
| Lemieux, Marcy | Vice President | 8020 Arco Corporate Dr., Suite 200 Raleigh, NC 27617 |
| Name | Role | Address |
|---|---|---|
| Hidalgo, Jose | Assistant Secretary | 8020 Arco Corporate Dr., Suite 200 Raleigh, NC 27617 |
| Name | Role | Address |
|---|---|---|
| Atchison, Jeff | Director | 9385 Dielman Industrial Dr., Olivette, MO 63132 |
| Infante-Still, Giovanni | Director | 8020 Arco Corporate Dr., Suite 200 Raleigh, NC 27617 |
| Name | Role | Address |
|---|---|---|
| Salvo, Alessandra | Secretary | 8020 Arco Corporate Dr., Suite 200 Raleigh, NC 27617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000043237 | HDIS | ACTIVE | 2018-04-03 | 2028-12-31 | No data | 115 E GRANADA BLVD, SUITE 6, ORMOND BEACH, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-03-26 | NRAI Services, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-26 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-27 |
| AMENDED ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-03-01 |
| Reg. Agent Change | 2016-10-07 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
