| Name: | NATIONAL SEATING & MOBILITY, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Jun 2000 (25 years ago) |
| Identification Number: | 000113042 |
| Place of Formation: | TENNESSEE |
| Principal Address: | 5959 SHALLOWFORD ROAD STE 443 SUITE 443, CHATTANOOGA, TN, 37421, USA |
| Purpose: | THE SALE OF DURABLE MEDICAL EQUIPMENT (WHEELCHAIRS) |
| NAICS: | 446199 - All Other Health and Personal Care Stores |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275947053 | 2014-06-19 | 2016-03-11 | 5959 SHALLOWFORD RD, SUITE 443, CHATTANOOGA, TN, 374212285, US | 11 KNIGHT ST, UNIT F22 - F23, WARWICK, RI, 028861397, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 423-756-2268 |
| Fax | 4232669690 |
| Phone | +1 401-230-7100 |
| Fax | 4012310763 |
Authorized person
| Name | JEFFREY MATUKEWICZ |
| Role | SECRETARY |
| Phone | 4237562268 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1275947053 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| CRISPIN TEUFEL | PRESIDENT | 302 INNOVATION DRIVE SUITE 500 FRANKLIN, TN 37067 USA |
| Name | Role | Address |
|---|---|---|
| CHARLES BODNER | TREASURER | 302 INNOVATION DRIVE SUITE 500 FRANKLIN, TN 37067 USA |
| Name | Role | Address |
|---|---|---|
| JEFF MATUKEWICZ | SECRETARY | 5959 SHALLOWFORD ROAD, SUITE 443 CHATTANOOGA, TN 37421 US |
| Number | Name | File Date |
|---|---|---|
| 202450116160 | Annual Report | 2024-04-04 |
| 202334180380 | Annual Report | 2023-04-27 |
| 202215344030 | Annual Report | 2022-04-21 |
| 202198437880 | Annual Report | 2021-06-21 |
| 202196796510 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202036593000 | Annual Report | 2020-03-20 |
| 201988390200 | Annual Report | 2019-03-11 |
| 201864026010 | Annual Report | 2018-05-07 |
| 201734455270 | Annual Report | 2017-02-21 |
| 201693435140 | Annual Report | 2016-03-01 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
