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MLS 1116, INCORPORATED

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Company Details

Name: MLS 1116, INCORPORATED
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Nov 2001 (24 years ago)
Organization Date: 14 Nov 2001 (24 years ago)
Last Annual Report: 05 Mar 2024 (a year ago)
Organization Number: 0525528
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42743
City: Greensburg
Primary County: Green County
Principal Office: MLS MEDICAL, 702 COLUMBIA HWY, SUITE 1, GREENSBURG, KY 42743
Place of Formation: KENTUCKY
Authorized Shares: 3

Registered Agent

Name Role
SAMMY BLAKEMAN Registered Agent

President

Name Role
SAMMY BLAKEMAN President

Director

Name Role
SAMMY BLAKEMAN Director

Incorporator

Name Role
DONALD PHIPPS Incorporator
MICHAEL L. STEPHENS, SR. Incorporator
MICHAEL L. STEPHENS, JR. Incorporator

National Provider Identifier

NPI Number:
1922038561

Authorized Person:

Name:
SAMMY BLAKEMAN JR.
Role:
OWNER MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2709735267

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 248506 Home Medical Equipment and Services Provider Active 2019-05-10 - - 2025-09-30 702 Columbia Hwy, Greensburg, KY 42743
Department of Professional Licensing 169441 Home Medical Equipment and Services Provider Expired 2012-08-16 - - 2020-09-30 375 Office Park Drive, Columbia, KY 42728

Filings

Name File Date
Annual Report 2024-03-05
Annual Report 2023-03-15
Annual Report 2022-03-07
Annual Report 2021-02-09
Annual Report 2020-02-12

USAspending Awards / Financial Assistance

Date:
2021-02-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
22625.00
Total Face Value Of Loan:
22625.00

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Sources: Kentucky Secretary of State