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Mobility Central, Inc.

Details

Name: Mobility Central, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 29 Dec 2003 (21 years ago)
Entity Number: 000-232-747
Register Number: 000232747
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 425 GREENSPRINGS HWY STE 121BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: 1,000

Activities PROVIDE DURABLE MEDICAL EQUIPMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316982143 2006-06-17 2014-12-16 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732, US 400 OLDE TOWNE RD, VESTAVIA HILLS, AL, 352163732, US

Contacts
Phone +1 205-916-0670
Fax 2059402299

Authorized person
Name MR. BEN MARK PETERS
Role PRESIDENT/OWNER
Phone 2059160670

Taxonomy
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number 05017284
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 009969285
State AL
Issuer BLUECROSS BLUESHIELD
Number 51521309
State AL

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
59NU0 Active Non-Manufacturer 2008-12-10 2021-11-19 2025-11-19 2021-11-19

Contact Information
POC BEN PETERS
Phone +1 205-910-2156
Fax +1 205-942-2534
Address 400 OLDE TOWNE RD, BIRMINGHAM, AL, 35216 3732, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILITY CENTRAL INC 401(K) PROFIT SHARING PLAN & TRUST 2023 061711898 2024-04-04 MOBILITY CENTRAL INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401(K) PROFIT SHARING PLAN & TRUST 2022 061711898 2023-07-31 MOBILITY CENTRAL INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401(K) PROFIT SHARING PLAN & TRUST 2021 061711898 2022-06-24 MOBILITY CENTRAL INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401(K) PROFIT SHARING PLAN & TRUST 2020 061711898 2021-06-17 MOBILITY CENTRAL INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401(K) PROFIT SHARING PLAN & TRUST 2019 061711898 2020-07-30 MOBILITY CENTRAL INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401 K PROFIT SHARING PLAN TRUST 2018 061711898 2019-10-15 MOBILITY CENTRAL INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401 K PROFIT SHARING PLAN TRUST 2015 061711898 2016-08-01 MOBILITY CENTRAL INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401 K PROFIT SHARING PLAN TRUST 2014 061711898 2015-07-28 MOBILITY CENTRAL INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401 K PROFIT SHARING PLAN TRUST 2013 061711898 2014-08-13 MOBILITY CENTRAL INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2014-08-13
Name of individual signing LAURIE PETERS
MOBILITY CENTRAL INC 401 K PROFIT SHARING PLAN TRUST 2012 061711898 2013-07-30 MOBILITY CENTRAL INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446190
Sponsor’s telephone number 2059160670
Plan sponsor’s address 400 OLDE TOWNE RD, VESTAVIA, AL, 352163732

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing MOBILITY CENTRAL INC

Agent

Name Role
PETERS, BEN M Agent

Incorporator

Name Role
CHEN, SUSAN Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V263F116181PH470EXPRESSREPORTING 2011-02-07 2011-06-03 2011-06-03
Unique Award Key CONT_AWD_V263F116181PH470EXPRESSREPORTING_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REPORTING FOR THE FOLLOWING PROSTHETIC POS: 618-1PH470,618-1PX760
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6350: MISC ALARM, SIGNAL, SEC SYSTEMS

Recipient Details
Recipient MOBILITY CENTRAL, INC.
UEI XLMTBNSJ4KG7
Legacy DUNS 155421626
Recipient Address UNITED STATES, 400 OLDE TOWNE RD, BIRMINGHAM, 352163732

Related by officers

CHEN, SUSAN

Jane E. Rubino, O.D., P.C. M&W Enterprises, Inc. Equity Capital Financial Corp. Rossair Heating & Cooling, Inc. Larry Shulman Sales, Inc. FireHouse Interactive Inc. Sharp Electric, Inc. Escape Travel Inc. Specialty Testing Services, Inc. Chelsea Pediatrics, Inc.

Related by address

BIRMINGHAM, AL

A Bonding, Inc. A-1 Moving and Storage Inc. A-1 Products, Inc. A & A Ambulance Service, Incorporated A & A Ash Jewelers, Incorporated AAA Advertising Agency, Inc. AAA Appliance Parts, Inc. AAA Vinyl Auto Tops, Incorporated A & B Furniture Co., Inc. A and D Fence Co., Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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